mrcem2-1494

A 7 year old girl is brought into the emergency department by concerned parents. They inform you that she hasn’t been feeling well for the past couple of days, complaining of fatigue, nausea, and excessive thirst. Today, the parents decided to bring her to the ED as she has become extremely lethargic. Upon examination, you notice that the patient appears pale and has cool extremities. The triage observations and tests are as follows:

Blood pressure: 85/50
Pulse: 145 bpm
Respiration rate: 30 bpm
Oxygen saturations: 94% on air
Capillary blood glucose: 26 mmol/l

Which of the following actions should be prioritized?