Case Study Cara Jones

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In the focus of this case study, Cara Jones is our patient. She is a 33 year old nursing assistant who was first admitted to the hospital after having a seizure. She has never had a seizure before, so this is the first and only time this has happened. Jones has been displaying symptoms for some time now, seeming to be in a stupor at times, has shown an increase in irritability, and an overall change in demeanor. She has also been feeling nauseous and vomiting frequently for the past week before the seizure occurred. Due to all these factors, a physical examination was done including an urinalysis and blood tests. Also a MRI was done, since the patient seems to be in a confused state since arriving to the hospital.
Once these results came back,
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Jones. In her position, I’d be more worried about the tumor growing in my brain. Thankfully, “surgery to remove the tumor is the most common treatment for this type of tumor. The most common route to remove this tumor is transsphenoidal (through nasal passage) or by opening the skull. Either way will allow the entire tumor to be removed.” Another option for the tumor may be radiation therapy. “This is more commonly used when part of the tumor is left over after the surgery in order to kill all the tumor cells and prevent the tumor from coming back.” When using radiation therapy, there is always a possibility “treatment will cause fatigue, mild skin reactions, or nausea,” (Cancer Net). As for treatments for hyponatremia, this is when it gets more complicated. The first step is “to determine the cause of hyponatremia and depending on what the underlying issue is proceed from there.” Since Jones is showing neurological changes, treatment will vary because neurological changes indicate a more severe form of the disease. The doctor may decide to “cut back on fluids in order to allow salt to stay in the blood, but since the hyponatremia is showing to be severe intravenous fluids and medications will more than like be necessary. The medications will help manage the nausea, vomiting, and the seizures to prevent them from happening. The fluids are intended to help raise sodium levels in the blood,” (“Hyponatremia: Treatment and Drugs”). The best way for Mrs. Jones to get better is to stay in the hospital so her symptoms can be monitored so the doctors can be sure they are giving her the proper treatment to what is going

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