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.
Melarsomine is an injectable drug for in-hospital use to kill adult heartworms in dogs. Treatment (not prevention) of heartworm infection can result in fatal complications, but death from the untreated heartworm infection is far more likely. Dogs must have 4-6 weeks of cage rest following treatment. Available as a powder which is reconstituted (mixed with sterile water) before use.