QQ-3260 Mrs Kelly Fernandez - Nursing – Nidhi Arora – Diabetes Ketoacidosis

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Ms Margaret Sam

Diabetes Specialist Nurse Timberlake Health Education Centre

Suite 548

34 Collins Street

Melbourne

15 February 2019

Dear Ms Sam

RE: Mrs Kedy Fernandez, DOB: 2/04/1975

Ms Fernandez, who was admitted into our hospital in unconscious condition and has been diagnosed with diabetes ketoacidosis, requires home visit for continuing treatment and insulin management.

During hospitalisation, Blood investigations were conducted revealed severe metabolic acidosis ;therefor, IV fluids, injection norepinephrine, potassium replacement and insulin were administered. The blood glucose, electrolytes, hydration status were regularly monitored and she responded well to the treatment; thus, her potassium value levels reached to the normal limits.

Her husband reported about she is being non-compliant with medication and diet specially with Insulin, the reason she fainted before admission.

For avoiding emergency situations in future, education and importance of having insulin on time have been provided included having balance diet on time.

Today she is going to be discharged it would be appreciated if you could visit her and provide her diabetic education in order to minimise future emergences. Kindly show her the technique to monitor urine ketones. Encouragement to maintain metabolic control and importance of having insulin are recommended.

If anything eles is required, please don’t hesitate to contact me.

Yours Sincerely,

Ward Nurse

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