ENEB Treatment
Questions with
complete
solution 2026 Early in the process
3yo Suffolk ewe
-purebred flock of 2. 60mL Magic—molasses:Karo: corn oil and 120 ml call
20 ewes quencher PO QID, monitor ketones nad rumen daily
-due to lab next
week —more aggressive than just propylene glycol
-nibbles at grain then
goes to hay and eats
-last to get up but
gets up immediately
when entering pen
without struggle
-owner works from
home, limited funds,
fa- vorite ewe
-urine ketones—small
amount
Rumen contractions
are adequately
mixing
Implies hyperketonemia
What tx would you -
give? —-give dextrose IV, Dexamethasone IV< hypertonic saline IV
(what a big bonus to pull fluid into vasculature to increase
1. 4th lactation volume of blood)
Holstein dairy cow, —rumen drench: give fluid to rumen to pull it into the blood
11 DIM (days in
milk), presents with **with metrics and increasing BHBA (ketones from not eating)
anorexia and low —> both
milk production
-has dystocia, calving
1/
14
, ease 5 (head back), PE re- decrease appetite and depress immunity
vealed PYREXIA<
TACHY- CARDIA<
RUMEN ATONY and
HYPERKETONURIA
2/
14
Questions with
complete
solution 2026 Early in the process
3yo Suffolk ewe
-purebred flock of 2. 60mL Magic—molasses:Karo: corn oil and 120 ml call
20 ewes quencher PO QID, monitor ketones nad rumen daily
-due to lab next
week —more aggressive than just propylene glycol
-nibbles at grain then
goes to hay and eats
-last to get up but
gets up immediately
when entering pen
without struggle
-owner works from
home, limited funds,
fa- vorite ewe
-urine ketones—small
amount
Rumen contractions
are adequately
mixing
Implies hyperketonemia
What tx would you -
give? —-give dextrose IV, Dexamethasone IV< hypertonic saline IV
(what a big bonus to pull fluid into vasculature to increase
1. 4th lactation volume of blood)
Holstein dairy cow, —rumen drench: give fluid to rumen to pull it into the blood
11 DIM (days in
milk), presents with **with metrics and increasing BHBA (ketones from not eating)
anorexia and low —> both
milk production
-has dystocia, calving
1/
14
, ease 5 (head back), PE re- decrease appetite and depress immunity
vealed PYREXIA<
TACHY- CARDIA<
RUMEN ATONY and
HYPERKETONURIA
2/
14