A 17 year old is brought to your ED by ambulance complaining of feeling unwell with fevers cough and generalised body aches.

Vitals;

BP  100/60

PR  110/min

T  39

His blood test show:

pH  7.20  (7.36-7.44)

pCO2  30  (35-45 mmHg)

HCO3  14  (22-26 mmol/l)

BE  -4

Na  120  (137-145 mmol/l)

K 6.0  (3.5-5 mmol/l)

Cl  94  (99-111 mmol/l)

Lactate 4

Glucose 2.0  (4-6 mmol/l)

Urea 16  (3.5-8 mmol/l)

Creat  700  (<130umol/l)

Describe and interpret the blood results

What clinical features will assist in your diagnosis?

What are the immediate life threats?

What is your treatment plan?