Case study
Case Study Chapter 37
Naomi Gonzalez
Nur1150
Week 7
Virginia College
Case Study Chapter 37 Jennie has been treated for adult-onset asthma for 3 years. She has been doing fairly well with her inhalers, but today she receives a prescription for Montelukast (Singulair), one 10 mg tablet daily.
1. How does this medication differ from the corticosteroids that are used to reduce inflammation?
Montelukast is a leukotriene receptor antagonist that is used to lower the inflammatory response in the patient’s lungs. The difference is that it does not have the side effects that corticosteroids have.
2. Jeannie says” I hope this medicine works better than the other one I took when I had an asthma attack.” How will you reply?
You should explain that this medication is for the reduction of asthma attacks, and does not prevent them. That she should still carry around her inhalers just in case of an attack. But that this medicine should reduce the frequency of the attacks.
3. Jeannie takes ibuprofen (Advil) on occasion for arthritic pain. How do you advise Jeannie regarding taking over the counter drugs with montelukast?
You should make sure that she understands that she should speak to her doctor before she takes any over the counter medication. Also explain that some medicines my interact with her priscribed medicine and that is the reason that she should check in with the doctor first.
4. After 3 months, Jennie stops taking the montelukast. She says” My symptoms are better, and I don’t want to take medicine unless I need it.” Is this appropriate?
No medicine should be stopped without first consulting with the doctor first. These drugs should be taken every day on the same schedule even if the patient feels better. That is the reason that they are feeling better.
Naomi Gonzalez
Nur1150
Week 7
Virginia College
Case Study Chapter 37 Jennie has been treated for adult-onset asthma for 3 years. She has been doing fairly well with her inhalers, but today she receives a prescription for Montelukast (Singulair), one 10 mg tablet daily.
1. How does this medication differ from the corticosteroids that are used to reduce inflammation?
Montelukast is a leukotriene receptor antagonist that is used to lower the inflammatory response in the patient’s lungs. The difference is that it does not have the side effects that corticosteroids have.
2. Jeannie says” I hope this medicine works better than the other one I took when I had an asthma attack.” How will you reply?
You should explain that this medication is for the reduction of asthma attacks, and does not prevent them. That she should still carry around her inhalers just in case of an attack. But that this medicine should reduce the frequency of the attacks.
3. Jeannie takes ibuprofen (Advil) on occasion for arthritic pain. How do you advise Jeannie regarding taking over the counter drugs with montelukast?
You should make sure that she understands that she should speak to her doctor before she takes any over the counter medication. Also explain that some medicines my interact with her priscribed medicine and that is the reason that she should check in with the doctor first.
4. After 3 months, Jennie stops taking the montelukast. She says” My symptoms are better, and I don’t want to take medicine unless I need it.” Is this appropriate?
No medicine should be stopped without first consulting with the doctor first. These drugs should be taken every day on the same schedule even if the patient feels better. That is the reason that they are feeling better.