"Upped and 'em" is an idiomatic expression that refers to an increase in the level of something. It is often used to describe the act of elevating one's effort or energy level. There are several synonyms that can be used to convey a similar meaning. Some of these include escalated, heightened, intensified, boosted, raised, amplified, augmented, and enhanced. These words can be used interchangeably with "upped and 'em" to describe any scenario where one is increasing their efforts or energies. No matter which synonym is used, the message conveyed is that there has been a significant increase in the level of something.