Type
Crossword
Description

Most Common S&Sx of GERD Dyspepsia
A Necessary Consult for Patient Dietary
A Proton Pump Inhibitor Omeprazole
A Histamine Blocker Famotidine
Patient's with GERD Should not Drink Alcohol
Losing Weight will Reduce Episodes of GERD with this Exercise
What is Damaged in the Stomach? Gastric Mucosa
The Backward Flow of Food into Throat Regurgitation
Another Word for Heartburn Pyrosis
Device Used to Decrease Reflux at Night CPAP

GI medications Crossword

Type
Crossword
Description

What is the pharmacological action of dexamethasone? Unknown
Should be used in combination with a glucocorticoid or a serotonin antagonist to prevent postoperative nausea and vomiting Aprepitant
This drug can be adminstered PO, IM, or IV and is primarily used for nausea and vomiting related to surgery or other treatments. Ondansetron
Which patient would you not want to give Aprepitant: pt with seizures, diabetic, or liver failure Liver Failure
Which med can cause prolonged QT interval and can lead to serious dysrhythmia? Ondansetron
Is Aprepitant safe for children? NOPE
MOA: Lowers surface tension of the stool to allow penetration of water Docusate Sodium
What is the therapeutic use of Docusate Sodium? Constipation
For this drug, we use low dose for painful elimination of stool, and large doses for colon surgery or diagnostic testing Magnesium Hydroxide
True or False: Administration of Magnesium Hydroxide can lead deficient levels of magnesium FALSE
OSMOTIC diuretics can cause_____________. Dehydration
In addition to stool softeners/laxatives, the nurse should encourage the patient to eat a diet high in ____________. FIBER
How would you know the laxative was effective? The patient had a _____________________. Bowel Movement
This is the MOA for what drug class: Activates opioid receptors to decrease intestinal motility and to increase the absorption of fluid and sodium in the intestine Antidiarrheal
Antidiarrheal medications are pregnancy category C. Would they contraindicated? YES
For Administration of Antidiarrheals: nurses should educate patient to drink something with electrolytes and no ___________. Caffeine
The MOA of ____________ is activating the vomiting center to expel gastric contents and causes increase of upper Gi motility, increasing peristalsis. Prokinetic agents
Which drug is a prokinetic agent? Metoclopramide, Ondansetron, Docusate Metoclopramide
True or False: Metoclopramide is contraindicated in GI bleed, seizures, and those at risk EPS(such as elderly and young children) True
This drug is approved only for female clients who suffer from IBS/D that has lasted more than 6 months Alosetron
What would you not want to give with Alosetron because it will decrease the levels and therapeutic effects? Phenobarbital
What is the drug of choice for women who struggle daily with IBS/C? Lubiprostone
As a nurse, what should instruct your patient to do when taking the medication, Lubiprostone to decrease nausea? take with food
5-Amino Salicylates MOA is it decreases ________________ by inhibiting prostaglandin synthesis? inflammation
Which of these is not a use for 5-aminosalicyates? nausea, IBS, Crohn's disease, ulcerative cholitis nausea
Which of these is not a contraindication for 5-Aminosalicylates? pregnancy, sensitivity to sulfanomides, thiazide diuretics, beta blockers, and salicylates, beta blockers
With a patient taking a probiotic and an antibiotic; how long should the nurse instruct her patient to take these apart? two hours
Which drug class helps restore the normal flora in the gut? probiotics
What drug class is needed to eliminate H. pylori bacteria? Antibiotics
Histamine 2 recpetor antagonized that works by blocking H2 receptors to reduce gastric acid and hydrogen ions in the stomach Ranitidine
This Histamine receptor antagonist drug can be given PO or IV: IV is given in acute situations; Cimetidine, Verapamil, and Labetalol Cimetidine
True or False: Ranitidine can be taken with or without food? true
A proton pump inhibitor that works by blocking basal and stimulated acid production and inhibits the enzyme that produces gastric acid Omeprazole
Would digoxin levels increase or decrease with omeprazole? increase
True or FAlse:Inform client they can have pneumonia, osteoporosis, rebound acid hypersecretion, and hypomagnesemia when taking Omeprazole True
This is used for a patient suffering from acute duodenal ulcers? Mucosal Protectant
This is the prototype for mucosal protectants Sucralfate
You would not give mucosal protectants in what patients: liver failure, diabetics, pregnancy, and kidney failure kidney failure
Do not crush or chew tablets of sucralfate, you should ___________- in water. dissolve
MOA: neutralized gastric acid by producing neutral salts and inactivated pepsin Antacids
Therapeutic use of Misoprostal in relation to GI: is prevention of gastric ____________ in patients taking long term NSAIDS ulcers

PROTON PUMP INHIBITORS Crossword

Type
Crossword
Description

generic name for prevacid lansoprazole
generic name for Prilosec omeprazole
trade name for esomeprazole Nexium
trade name for pantoprazole Protonix
one side effect of PPI abdominal pain
suppresses _____ _____ by inhibiting the enzyme system in cells gastric acid
one of the uses of PPI GERD
classification of PPI antacids
assess ____ pain before and after administration gastrointestinal
swallow tablets whole, do not ____ or chew crush
esomeprazole (Nexium): delayed release, 1 hr ac meal, "_____ pill" purple
_____ Pylori is treated using PPI Helicobactor
_____ levels of coumadin, valium, and dilantin increases
lower doses in ____ elderly
monitor ____ studies electrolyte
capsules should be taken whole
take on regular basis, not only when ___ occurs pain
take ___ meals before
do not take with ____ H2 blockers
few side effects in ____ _____ _____ short term therapy

Gastrointestinal Word Search

Type
Word Search
Description

ANTIMETICS
ACTIVATORS
EMOLLIENTS
BOWEL DISEASE
DRUGS
PRECAUTIONS
SIDE EFFECTS
PROTON PUMP INHIBITOR
PROBIOTICS
LAXATIVES
HISTAMINE BLOCKERS
ANTIFLATULENTS
ANTIEMETICS
ABTIDIARRHEAL
ANTACIDS

Gastrointestinal System Medications Crossword

Type
Crossword
Description

group of drugs that block histamine from binding to parietal cells and prevents those cells from secreting HCl H2 receptor antagonists
drug that counteracts or neutralizes acidity antacids
drug that acts on the brain to suppress appetite; used as a therapy for obesity anorexiants
drug that relieves diarrhea antidiarrheals
drug that prevents or treats nausea and vomiting antiemetics
drug that is used for alleviation or prevention of excessive intestinal gas antiflatulents
drug used to treat oral candidiasis (thrush) antifungals
drug that kills intestinal parasites (roundworms, tapeworms, and pinworms) anthelmintics
drug that decreases secretions and gastric mobility, reduce gastric spasm, and slow gastric motility antispasmodics
cleansing solutions that are used to remove stool before diagnostic tests (colonoscopy) bowel evacuators
drug used to dissolve small non-calcified gallstones gallstone solubilizing agents
drug that helps to control acid reflux prokinetics
drug that relieves constipation laxative
drug used to reduce the activity of lipases found in the intestine lipase inhibitors
hormone-like substances with a wide range of effects on the body (contraction and relaxation of smooth muscle) prostaglandins
drug that reduce the acidity of the stomach (usually combined with antibiotics to act against H. pylori) proton pump inhibitors

IBS/IBD/GERD/PUD Crossword

Type
Crossword
Description

Go to antacid, active ingredient in TUMS Calciumcarbonate
Mucus secreting cells in intestinal lining Gobletcells
Prokinetic agent, increases LES pressure Metoclopramide
Not recommended for acid reflux, dosed QID, forms viscous adhesive on ulcer crater Sucralfate
ADR of anti-histamine’s, dizziness, spinning room Vertigo
Side effect of GERD, ADR of Imodium Xerostomia
Omeprazole and sodium bicarb Zegerid
Brand only, PPI Dexilant
Blood in stool Hematochezia
Initial treatment for ulcerative colitis Mesalamine
Weakening of bone, extra intestinal manifestation Osteoporosis
250/500 mg capsules that are effective in entire GI tract Pentasa
________ tenderness, indicates severe to fulminant UC Rebound
lifestyle modification for nocturnal symptoms of GERD Wedge
Medication that is an irritant to mucosa in GERD Aspirin
use of loperamide may cause this condition toxicmegacolon
Food that decreases LES pressure peppermint
___ weeks of PPI is the choice for symptomatic relief and healing of erosive esophagitis Eight
PPI’s are dosed 30-60 mins before which meal? Breakfast
Food may relieve the pain when dealing with a ____ ulcer Duodenal
When there are drug interactions with antacid use, separate antacid by ____ hours Two
A dangerous complication of GI ulcers Perforation
Barrier to effective treatment of H. pylori infection Resistance
Drug used for prevention of NSAID ulcers, but contraindicated in pregnancy Misoprostol
An independent risk factor for stress-related mucosal bleeding Coagulopathy
used for IBS-D and hits Mu receptors Viberzi
emergency use in IBS-C and CIC Zelnorm
IBS-C in women, OI-Constipation Amitiza
classic symptom of PUD Epigastricpain
Protective factor for PUD Prostaglandins
Generic name for Sandostatin (inhibits gastric acid and releases gastrin) Octreotide
excessive fat in the stools due to malabsorption Steatorrhea
Malignant gastrinomas occur in 30-50% of patients with this syndrome Zollingerellisons
Generic name of Tagamet that has many drug interactions Cimetidine
Gives greatest symptom relief for GERD + highest healing rates PPI
antidiarrheal that is over the counter Loperamide
generic of Uceris, used to help treat ulcerative colitis Budesonide

Gastro-Intestinal system Crossword

Type
Crossword
Description

Bad breath Halitosis
absent or ineffective peristalsis (wavelike contraction) of the distal esophagus accompanied by failure of the esophageal sphincter to relax in response to swallowing achalasia
protrusion of an organ or part of an organ through the wall of the cavity that normally contains it Hernia
difficulty swallowing dysphagia
heartburn pyrosis
inflammation of the oral mucosa stomatitis
White patches; may be hyperkeratotic; usually in buccal mucosa; usually painless Leukoplakia
Cheesy white plaque that looks like milk curds; when rubbed off, it leaves an erythematous and often bleeding base Candidiasis
mixture of food with saliva, salivary enzymes, and gastric secretions that is produced as the food passes through the mouth, esophagus, and stomach chyme
A backward flowing. For example, vomiting is a ....... of food from the stomach, and the backflow of blood back into the heart when a heart valve is incompetent Regurgitation
indigestion dyspepsia
spasms of the anal sphincter with pain and persistent urge to defecate tenesmus
. an involuntary spasm of the diaphragm and respiratory organs, with a sudden closure of the glottis and a characteristic gulping sound. hiccough
the accumulation of gas in the alimentary canal flatulence
a feeling of sickness with an inclination to vomit nausea
the scientific term for tooth decay or cavities Dental caries
dry mouth and dry mouth syndrome, dryness in the mouth, which may be associated with a change in the composition of saliva, or reduced salivary flow, Xerostomia
the excretion of abnormal quantities of fat with the faeces owing to reduced absorption of fat by the intestine steatorrhoea
painful swallowing. Pain can be felt in your mouth, throat, or esophagus. Odynophagia
the production of dark sticky faeces containing partly digested blood, as a result of internal bleeding or the swallowing of blood. melaena
severe pain in the abdomen caused by wind or obstruction in the intestines and suffered especially by babies colic
lack or loss of appetite for food anorexia

Medication Crossword; Nurs134

Type
Crossword
Description

non-opioid analgesic given for mild to moderate pain; should be limited to 4 grams daily according to the FDA Acetaminophen
inhibits production of uric acid; used to treat gout Allopurino
benzodiazepine; treats anxiety and panic disorders; Xanax Alprazolam
calcium channel blocker; antihypertensive; works by systemic vasodilation to decrease blood pressure; Norvasc Amlodipine
antibacterial; may be given for pneumonia, sinusitis, acute bronchitis, middle ear infection, urethritis, pertussis, etc; Zithromax Arithromycin
NSAID; low dose taken routinely is often recommended to prevent heart attack Aspirin
given to treat high cholesterol and prevent cardiovascular disease Atorvastatin
most frequently given by suppository; stimulant laxative Bisacodyl
opioid analgesic used for management of moderate to severe acute pain; binds to CNS opioid receptors to block perception of pain; Buprenex Buprenorphine
beta blocker; antihypertensive; lowers heart rate and blood pressure; Coreg Carvedilol
anti-infective; binds to cell wall membrane to cause cell death against susceptible bacteria; Rocephin Ceftriaxone
fat-soluble vitamin that promotes absorption of Ca and Phos Cholecalciferol
anti-infective; fluoroquinolones; broad spectrum; used against gram positive (MRSA) and gram negative (E-coli) pathogens Ciprofloxacin
antihypertensive; adrenergic; for management of mild to moderate HTN; inhibits vasoconstriction to reduce blood pressure; Catapres Clonidine
opioid analgesic; often combined with guaifenesin or promethazine for cough suppressant that affects parts of the brain to reduce urge to cough Codeine
long-acting insulin that stimulates peripheral glucose uptake by binding to insulin receptors; Levemir Detemir
sodium; stool softener Docusate
reduces size of prostate and decreases urinary symptoms of BPH Dutasteride
low molecular weight heparin; prevention of VTE, DVT, PE Enoxaparin
antidiabetic; promotes insulin secretion and glucose-lowering mechanisms; Byetta Exenatide
used to prevent acid reflux/GERD; short-term treatment of duodenal ulcers Famotidine
opioid analgesic; short half-life; often given by IV or patch; CNS depressant Fentanyl

Medication Puzzle Word Search

Type
Word Search
Description

oxymetazoline
pseudoephedrine
naproxen
ibuprofen
acetaminophen
Aspirin
Raloxifene
Cisplatin
Capecitabine
Trastuzumab
Pegfilgrastim
Granisetron
Timolol
Cyclosporine
Bimatoprost
Isotretinoin
Sildenafil
Ranitidine
Pantoprazole
Ondansetron
Omeprazole
Mesalamine
Famotidine
Hydromorphone
Morphine
Oxymorphone
Oxycodone
Fentanyl
Cyclobenzaprine
Pregabalin
Gabapentin
Lidocaine
Ketorolac
Tramadol
Celecoxib
Budesonide
Tiotropium
Respimat
Mometasone
Omalizumab
Montelukast
Levalbuterol

Disorders and Diseases of the Digestive System Crossword

Type
Crossword
Description

The surgical removal of the gallbladder cholecystectomy
A condition characterized by difficulty in defecating constipation
A chronic, inflammatory bowel disease that usually affects the small intestine or colon crohns disease
The occurrence of frequent, watery bowel movements diarrhea
Solid crystals that form from substances in the bile of the gallbladder gallstones
An inflammation of the stomach or intestine that produces some combination of nausea, vomiting, diarrhea, and abdominal pain gastroenteritis
The movement of chyme from the stomach into the lower esophagus gastroesophageal reflux
An abbreviation for the chronic inflammation of the esophagus caused by the upward flow of gastric juice (caused by gastroesophageal reflux) GERD
A disease characterized by inflammation of and damage to the liver hepatitis
A condition in which the wall of the small and/or large intestine becomes chronically inflamed inflammatory bowel disease
Inflammation of the pancreas pancreatitis
A disease that affects the supporting structure of the teeth and the gums periodontal disease
A break in the lining of the stomach, duodenum, or lower esophagus ulcer
An inflammatory bowel disease that usually affects the colon and the mucosal layer of the intestinal wall ulcerative colitis

Hypertension Crossword

Type
Crossword
Description

The condition of having elevated blood pressure Hypertension
Guidelines for treating hypertension JNC8
Beta-blocker with best effects on blood pressure carvedilol
Trial that recommends blood pressure goal of <120/80 SPRINT
Study that identified most effective agents for lowering blood pressure Allhat
Device used to measure blood pressure sphygmomanometer
Severe hypertension with end-organ damage, hypertensive.... emergency
Sever hypertension in asymptomatic patients, hypertensive..... urgency
Interaction with ACE-Inhibitors that can lead to increased blood pressure NSAIDs
Generic for Cozaar Losartan
Generic for Zestril lisinopril
Generic for Microzide Hydrochlorothiazide
Generic for Norvasc Amlodipine
Common ingredient that increases blood pressure salt
Time of day blood pressure is generally highest Morning
Blood pressure that requires at least 4 drugs to be controlled Resistant
Elevated blood pressure while in the doctors office, ..... hypertension whitecoat
Type of calcium channel blockers more effective for blood pressure reduction dihydropyridine
<140/90 is an appropriate blood pressure goal for patients younger than sixty
ACEs and ARBs are NOT preferred first line in this group of people African American
Life threatening side effect of ACE-Inhibitors and ARBs angioedema