Joanna had a small ventricle septal defect (vsd) repaired when she was 3 years old and has no residual cardiac problems. she is now 28 and is requesting prophylactic antibiotics for an upcoming dental visit. the appropriate antibiotic to prescribe according to current american college of cardiology and american heart association guidelines is:

In the given case, no antibiotic is needed for dental procedures.  

Based on the updated recommendations from the American Heart Association, there is no need to take a precautionary antibiotic prior to dental proceedings for the majority of people.  

It has been suggested by AHA that only those who are at greatest threat of bad consequences from infective endocarditis needs to get the short-term preventive antibiotics prior to routine dental approaches.  

It has been recommended by the AHA guidelines that various of the people who have taken preventive antibiotics in the past no longer need them, these include the individuals with the conditions, like mitral valve prolapse, ventricular septal defect, bicuspid valve disease, rheumatic heart disease, and others.  

multiplying and dividing the two decimals and the eqations by the same number of the overalls

it has to be understood that the sea water contains a huge amount of sodium and chlorine ions and if they enter the cell of the atlantic cod fish, the cell will shrivel and the fish will die. to avoid such a condition, the fish uses active transport for the purpose of removing the ions against the gradient.

explanation:

the atlantic cod is not a maritime osmoconformer. its native application of salts is less than that of the seawater it lives in. it is continually falling water from the gills to the ocean via osmosis.

countering that, the fish is going to be swallowing seawater. but since its internal collection of salts is lower than seawater, the fish will want to go free of excess salt, and since that's going upon a gradient, then active transport, requiring energy, must be used to pump out the salt. much marine fish use the organs to filter out the salt and these fish discharge very straight urine.