The first 12 hours post-IV fluids
Your 12 kg dog's wobbliness after macadamia poisoning stems from temporary nerve dysfunction, not permanent damage. The IV fluids help by maintaining blood pressure to flush toxins while preventing dehydration that could worsen weakness. Don't expect instant improvement — the first noticeable change is usually steadier breathing as his body redistributes fluids properly.
He may sleep deeply for several hours as his system recovers, which is normal unless accompanied by irregular twitching or inability to rouse for bathroom breaks. Offer small amounts of water every hour, but hold food until he shows interest — force-feeding could lead to aspiration while he's still unsteady.
Tracking mobility milestones
Recovery isn't linear — he might stand well but still stumble on turns for another day. Make a mental note of specific improvements, like being able to walk from his bed to the water bowl without sitting down midway. Temporary knuckling under (dragging the tops of his paws) is common but should resolve within 36 hours.
Create a restricted space with non-slip flooring — tile or hardwood can be treacherous for dogs regaining coordination. Use rolled towels as makeshift railings if he struggles with balance during bathroom trips. Avoid stairs entirely until he demonstrates normal proprioception (knowing where his feet are in space).
Appetite and hydration watch
The return of hunger signals his nervous system is recovering, but start with bland food in teaspoon amounts. Some dogs experience transient nausea from macadamia toxins even after IV fluids. If he refuses three meals in a row or shows new vomiting, that warrants a callback to the vet.
Check hydration by lifting the skin at his shoulders — it should snap back immediately. Delayed recoil means he's still processing the IV fluids or needs more oral intake. His gums should be moist and pink, not tacky or pale, which would suggest circulation issues lingering from the poisoning.
When to resume normal activity
Resist returning to walks until he's bored in confinement — that restlessness proves his energy and coordination are back. The first outdoor trips should be brief, on-leash, and away from stimuli that might excite him into overexertion. Watch closely for stumbling when sniffing or sudden fatigue after minimal activity.
Most dogs fully recover within 48 hours, but those who needed veterinary intervention sometimes take an extra day. If he seems 90% normal by then, the last remnants of weakness typically resolve uneventfully. Document any odd movements with your phone to review with the vet at the follow-up appointment.
For a dose worked out against your pet's weight, use the Macadamia Nut Toxicity Calculator.