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The requirement of reducing the likelihood of patient harm associated with the use of anticoagulation therapy applies to

A. routine situations in which short-term prophylactic anticoagulation is used for venous thromboembolism prevention

B. hospitals that provide anticoagulation therapy and/or long-term anticoagulation prophylaxis

C. routine situations in which short-term prophylactic anticoagulation is used for venous thromboembolism prevention and anticoagulation therapy and/or long-term anticoagulation orphylaxis

1 Answer

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Final answer:

The requirement to reduce patient harm from anticoagulation therapy applies to both short-term and long-term prophylactic uses in a healthcare setting. Pharmacogenomics can assist with personalizing Coumadin dosing, optimizing anticoagulant management, and ensuring safe hemostasis.

Step-by-step explanation:

The requirement of reducing the likelihood of patient harm associated with the use of anticoagulation therapy applies to hospitals that provide anticoagulation therapy and/or long-term anticoagulation prophylaxis, including routine situations in which short-term prophylactic anticoagulation is used for venous thromboembolism prevention and treatments for long-term conditions. Such therapy is critical as it helps prevent clotting in patients who have encountered cardiovascular issues such as heart attacks, strokes, and other related diseases.

Pharmacogenomics could be used to assist patients who are prescribed drugs like Coumadin (a frequent anticoagulant) by tailoring medication to the individual's genetic makeup, which affects liver function and therefore drug metabolism. This can prevent overdosing and ensure the correct dosage, minimizing the risk of adverse effects. With the inherent risks of anticoagulants, such as potential for excessive clotting or bleeding, the precise use of pharmacogenomics can be particularly beneficial in optimizing patient care whilst managing the use of anticoagulation therapy.

It is essential always to monitor and manage these therapies closely, as anticoagulants play a crucial role in the hemostasis process, which balances bleeding and clotting in the body. Anticoagulants like heparin and antithrombin help regulate clot formation by inactivating clotting factors and opposing prothrombin conversion to thrombin in the bloodstream, ensuring that clotting occurs only where necessary.

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