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QQ-3573. Ms Kelly Fernandez - Nursing – Ayushi Uniyal – Diabetic Ketoacidosis


Ms Margaret Sam

Diabetes specialist nurse

Timberlake health education centre

Suite S4Q

34 calling street


15 February 2019

Dear Ms Sam,

Re: Ms Kelly Fernandez,DOB: 02 April 1975

I am writing to update the current health status of Ms Kelly Fernandez who requires a home visit for advise on self-care management she has been diagnosed with diabetic ketacidosis.

Ms Fernandez brought to hospital on 12 February 2019 with unconscious state. Her husband mentioned that she fainted due to diabetes mellitus. She has had diabetes mellitus for the past two years. However,she is non complaint with diet and medication. In addition,long periods fasting with binge eating and irregular eating pattern including fast food have been reported.

During hospitalization,vital signs were deranged with blood pressure of 90/45 mmkg. On observation,acetone breath and dry pale skin were noticed. Her blood gas analysis revealed severe metabolic acidosis. Her BMI is 33 and her engagement in physical activity is inadequate. She was educated regarding the important of taking medication and balanced meals on time.

Based on the above mentioned circumstances, education regarding the importance of diabetes diet and physical activities would be profoundly beneficial to reduce the risk of future episodes. She has ba review after 15 days.

If you have any queries regarding Ms Fernandez, please do not hesitate to contact me.

Yours sincerely,

Registered nurse.

1. Mr Kelly Fernandes - Ayushi Uniyal


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