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3 votes
The standardized process for

anticoagulation management requires
patient involvement and

A. use of authoritative resources to
manage potential food and drug
interactions for patients receiving
heparin.

B. assessment of the patient's baseline
coagulation status by identifying risk
factors such as age, weight, bleeding
tendency, and genetic factors.

C. use of only oral unit-dose products,
prefilled syringes, or premixed infusion
bags when these types of products are
available.

1 Answer

2 votes

Final answer:

Pharmacogenomics involves tailoring medication treatment to a person's genetic makeup, which can be particularly useful in determining the appropriate dosage of anticoagulants such as Coumadin to avoid overdose and optimize therapeutic effects.

Step-by-step explanation:

Pharmacogenomics can be utilized to assist patients receiving anticoagulants like Coumadin (Warfarin) by enabling personalized medicine. This scientific field studies how a person's genetic makeup influences their response to drugs. Pharmacogenomics can identify genetic factors that affect a patient's metabolism of medications, such as anticoagulants, and help predict whether a person may require a lower or higher dose to avoid adverse events such as bleeding or clotting. It is particularly important in anticoagulation management as the therapeutic window for drugs like Coumadin is narrow and patient-specific.

In the context of anticoagulant therapy, genetic variations in enzymes involved in drug metabolism, such as the liver enzymes that process Coumadin, can influence a patient's response to the medication. By testing for these genetic variants, healthcare providers can tailor the dosage of anticoagulants to the individual's genetic profile, reducing the risk of overdose and ensuring effective prevention of thromboembolic events like strokes or heart attacks. Additionally, understanding plasma anticoagulants like heparin, the protein C system, tissue factor pathway inhibitor (TFPI), and antithrombin is crucial for managing how these drugs interact within the coagulation pathways and affect hemostasis.

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