An 80 year old man is sent in to your Emergency department by his Surgeon after a routine checkup 5 weeks post bowel resection for bowel obstruction.

He is noted to be pale and unwell.

Vital Signs:

BP 100/60

PR  95/min

His blood tests:pH  7.33

pCO2  30

HCO3  16

BE  -9

Sodium  125

Potassium  6.6

Chloride 100

Creatinine   394

Glucose  6.8

Describe and interpret his blood results

What are your treatment priorities?