An 11 year old girl presents feeling weak and tired. She has had a difficult day at school with cross country. She has no fevers but on history has frequency and excessive thirst. Her blood tests show:pH 7.214
HCO3 10 mmol/l
CO2 35 mmol/l
Na 131 mmol/l
K 3.8 mmol/l
Cl 98 mmol/l
Creat 81 umol/l
Hb 155 g/l
WCC 13.3
Glucose 23.3
Interpret the blood tests
Describe the principles of management
In detail, what are the immediate treatment priorities?