Jessica is in Diabetic Ketoacidosis - her blood sugar is elevated, she is ketotic and her pH is < 7.35.
She is mildly tachycardic, has Kussmaul's breathing (a deep sighing pattern of breathing where the body is expelling CO2 to attempt to correct a metabolic acidosis) and has a dry mouth; her dehydration is estimated at 5%.
As per the guidelines she is to be started on Intravenous fluids one hour before intravenous insulin is begun.