A 5 year old child is brought to your ED by her mum complaining that she has not being eating or drinking much over the past 5 days.

The child looks unwell and finger prick glucose is 2.6 mmol/l.What would you do next?

Her VBG shows:

pH  7.33

pCO2  35

HCO3  18

BE -6

Lactate 1.2

Na  135

K  3.9

Cl  104

Describe and interpret the blood test.

What other test would you do?

What is her disposition?