A 32 year old male presents to ED after cutting his right cubital fossa in a suicide attempt. According to the paramedics there was a large amount of blood on scene.

VBG on arrival:

pH 6.98                                   Na 141 mmol/l

pCO2 82 mmHg                      K 4.2 mmol/l

HCO3 15 mmHg                     Cl 105 mmol/l

B/E – 20                                   Cr 173 umol/l

HB 126                                    Lactate 15 mmol/l

1. Describe and interpret the VBG
2. List immediate management priorities