The management of over-correction of hyponatremia is similar to the general approach to hyponatremia: 1  Defend the intravascular volume. 2  Prevent the sodium from increasing any further Fluid restriction: make the patient NPO and stop IV fluids. 3  Consult Nephrology.
Heartworm treatment recovery is often rough. Heartworm treatment often causes pain to spread throughout the dog's lower back muscles and makes the dog feel nauseated. Both symptoms will usually ease in a couple of days. As the worms begin dying off, it is common for a dog to cough or gag.
The main drug used is Melarsomine (brand name Immiticide). There is some risk involved in treating dogs with heartworms, although fatalities are rare. Suite101.com discusses the treatment options and risks . Treatment cost should also include follow up appointments within a month of the injection(s).