Puzzle 22: Respiratory & Gastrointestinal Pharmacology

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Across
  1. 2. A mucosal protective agent that forms a sticky, gel-like barrier over ulcer craters, requiring an acidic environment to activate.
  2. 5. The primary therapeutic response achieved in the airways by stimulating beta-two receptors or blocking muscarinic pathways.
  3. 7. An osmotic laxative that acidifies the colon to trap ammonia as ammonium, primarily used to manage hepatic encephalopathy.
  4. 9. A long-acting beta-two adrenergic agonist (LABA) with a rapid onset, routinely paired with an inhaled corticosteroid for maintenance.
  5. 11. A synthetic prostaglandin E1 analogue that stimulates gastric mucus secretion, strictly contraindicated in pregnancy due to abortifacient actions.
  6. 15. A mucosal protective subsalicylate compound that exerts antimicrobial effects against H. pylori, known for causing a benign black stool.
  7. 19. A foundational H2 blocker that acts as a potent inhibitor of multiple CYP450 enzymes, commonly causing significant drug interactions.
  8. 21. A neurokinin-one receptor antagonist that acts centrally in the brainstem to prevent delayed chemotherapy-induced emesis.
  9. 24. The physiological release of acid, pepsin, or mucus into the gastric lumen, heavily targeted by antiulcer pharmacotherapy.
  10. 25. A highly effective serotonin 5-HT3 receptor antagonist widely prescribed to prevent chemotherapy-induced nausea and vomiting.
  11. 26. A potent inhaled corticosteroid (ICS) utilized for long-term asthma control, requiring patients to rinse their mouth to prevent thrush.
  12. 27. A short-acting beta-two adrenergic agonist (SABA) utilized as emergency rescue therapy to reverse acute bronchospasm.
  13. 28. A bulk-forming laxative that absorbs water in the intestinal lumen to increase stool mass and mechanically stimulate peristalsis.
  14. 29. A prototypical proton pump inhibitor that irreversibly binds to the hydrogen-potassium ATPase pump in gastric parietal cells.
Down
  1. 1. A class of pharmacological agents that accelerate gastrointestinal motility by enhancing coordinated smooth muscle contractions.
  2. 3. A potent mucolytic agent that breaks disulfide bonds in respiratory mucus, also serving as the specific antidote for acetaminophen toxicity.
  3. 4. A combination of essential digestive enzymes administered orally with snacks and meals to patients with cystic fibrosis.
  4. 6. The functional receptor classification for drugs like famotidine, diphenhydramine, and ondansetron that work by blocking signaling.
  5. 8. A long-acting anticholinergic (LAMA) administered via inhalation for the maintenance treatment of chronic obstructive pulmonary disease.
  6. 10. A leukotriene receptor antagonist utilized for chronic asthma prophylaxis, carrying warnings for neuropsychiatric events.
  7. 12. A historical H2 receptor antagonist that suppresses gastric acid secretion, largely replaced by famotidine due to impurity concerns.
  8. 13. Nerve pathways or receptor responses that are targeted by anticholinergic medications to limit excessive broncho-secretion.
  9. 14. An expectorant agent that thins and loosens respiratory tract secretions, making a productive cough more effective.
  10. 16. An opioid receptor agonist that acts strictly on the intestinal smooth muscle to slow GI transit time without crossing the BBB.
  11. 17. A first-generation H1 antihistamine that readily crosses the blood-brain barrier, causing pronounced sedation and anticholinergic effects.
  12. 18. A prokinetic dopamine antagonist that stimulates upper GI motility, carrying a prominent black-box warning for tardive dyskinesia.
  13. 19. A second-generation H1 antihistamine with minimal central nervous system penetration, offering long-acting allergy relief with low sedation.
  14. 20. A hypersecretory phenomenon where stopping proton pump inhibitors abruptly causes a severe temporary surge in gastric acid production.
  15. 22. A phenothiazine antiemetic agent that blocks dopamine receptors in the CTZ, frequently causing extrapyramidal side effects.
  16. 23. A soluble theophylline salt complex with a narrow therapeutic index, requiring strict serum drug level monitoring to prevent seizures.