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You can learn the drug montelukast by the image of the mountie-locust. This drug is also known by its trade Singulair, and it is a leukotriene receptor blocker, shown by the luke-shrine with blocked receptor. Leukotrienes are inflammatory mediators, responsible for producing bronchoconstriction, inflammation, and airway edema in patients with asthma. By blocking the action of leukotriene receptors in the lungs and bronchial tubes, inflammation and bronchoconstriction is reduced. This is helpful in treating allergic rhinitis, illustrated by the allergy-alligator with a runny-nose, and as a therapy for asthma prophylaxis, the asthma-inhaler with purple-axes. It can also be used for exercise induced bronchospasm, shown by the treadmill with broccoli-spaceship, but it is often recommended that a short-acting beta-2 agonist medication be used instead. Common side effects of this medication include fatigue, shown by the sleepy-guy, headache, the head-egg-lump, and mood changes, the moody-mask changing. Although rare, some patients may experience suicidal thoughts, shown by the suicidal-jumper in a thought-bubble. It is important to note that patients taking montelukast are at increased risk of developing Churg-Strauss syndrome, shown by the up-arrow risk at the church of straws. This is a potentially life-threatening autoimmune disorder that causes inflammation of the blood vessels, which can lead to tissue death and destruction in the lungs. So to summarize, montelukast is a leukotriene receptor blocker indicated for use in allergic rhinitis, as a prophylactic agent for asthma, and for exercise induced bronchospasm. Side effects of this medication include fatigue, headache, mood changes, and suicidal thoughts. Patients taking montelukast are also at an increased risk of developing Churg-Strauss syndrome.&nbsp;

educational

story

mountie locust.png

montelukast.png

Mountie-locust

Montelukast (Singulair)

Bronchodilators: Leukotriene antagonists and methylxanthines

Asthma medication

Mechanism

luke shrine with blocked receptor.png

mechanism.png

Luke-shrine with Blocked Receptor

Leukotriene Receptor Blocker

What mechanism of action or pharmacological action is best associated with montelukast (Singulair)?

Indications

allergy alligator with runny nose.png copy

allergy alligator with runny nose.png

indication.png

Allergy-alligator with Runny-nose

Allergic Rhinitis

Which of the following diseases or disorders is most likely an indication to use montelukast (Singulair)?

asthma inhaler with purple axes.png

Asthma-inhaler with Purple-axes

Asthma Prophylaxis

treadmill with broccoli spaceship.png

Treadmill with Broccoli-spaceship

Exercise Induced Bronchospasm

Side Effects

sleepy guy.png

fx.png

Sleepy-guy

Fatigue

During your assessment of a patient taking montelukast (Singulair) which of the following side effects is most likely to be seen?

head ache lump.png

Head-egg lump

Headache

moody mask changing.png

Moody-mask Changing

Mood Changes

suicidal jumper thought bubble.png

Suicidal-jumper Thought-bubble

Suicidal Thoughts

Considerations

up arrow risk at church of straws.png

Up-arrow Risk at Church of Straws

Increased Risk of Churg Strauss

Which of the following is an important consideration regarding the administration of Montelukast (Singulair)?

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

First Aid for the USMLE Step 1 2016

First Aid for the USMLE Step 1 2017

First Aid for the USMLE Step 1 2018

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Lilley, Rainforth Collins & Snyder, Pharmacology and the Nursing Process, 8th Ed.

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

NP - Certification Examination and Practice Preparation 4th Edition, Fitzgerald

PANCE Prep Pearls: 1st Ed, 2014

PANCE Prep Pearls: 2nd Ed, 2017

Pharmacology and the Nursing Process 7e, Lilley, Rainforth Collins, Snyder, 2014

Pharmacology and the Nursing Process 8e, Lilley, Rainforth Collins, Snyder, 2017

STEP-UP to USMLE Step 2 CK, 4th Ed

This Picmonic was reviewed for academic accuracy.

Hey buddy! I'm the mountie-locust and boy do I have a story for you! I was hopping along the Canadian country side when I came across a Luke-shrine holding a blocked receptor. I stopped to pay my respects, it would be rude not to, when I found out it was an ambush set up by the nasty allergy-alligator with a runny-nose! He wants everyone to have to run just like him so he got his minion Asthma-Inhaler to chase me with purple-axes onto a treadmill beamed down by the broccoli-spaceship! I ran so fast and so long that I fell off looking like a sleepy-guy and I hit my head so hard I had a huge head-egg-lump on my head too. Luckily for me my locust friends took my bad mood ring off and put my good mood ring and saved me from my thoughts about suicide. Once I was feeling better we erected a church of straws with a big up-arrow risk sign to warn everyone coming to the shrine about the ambush. &nbsp;Pretty good story eh?

"I will take this medication to treat  an asthma attack."

"I may get a headache when taking this medication."

"I may get a little more tired than usual taking this medication."

"I will be sure to let someone know if I have any changes in my mood."

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