A 27-year-old female presented with fever, diarrhoea and feeling unwell for 3 days.  Her vitals showed the following:

Blood pressure = 102/50 mmHg

Pulse rate = 138/min

Temperature = 38.3

Respiratory rate = 26/min

Her blood gas shows:

pH = 7.357

pCO2 = 39 mmHg

pO2 = 24 mmHg

HCO3 = 16.2 mmol/L

Hb = 136 g/L

Na = 127 mmol/L

K = 5.7 mmol/L

Ca (ionised) = 0.89 mmol/L

Cl =100 mmol/L

Glucose = 18.9 mmol/L

Lactate =1.4 mmol/L

Creatinine = 56 umol/L

Questions

1. Interpret these results
2. What key features would you look for on examination
3. How will you manage this patient