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A 35-year-old man from a nearby chicken processing plant is brought to the emergency department during an H7N9 avian influenza outbreak. His vital signs show temperature 101.9 F, pulse 110/min, respiratory rate 24/min, SpO2 95% on room air, and BP 100/55 mmHg. Initial laboratory testing reveals a mild leukocytosis and sodium 136 mEq/L, potassium 4.1 mEq/L, chloride 105 mEq/L, glucose 115 mg/dL, BUN 38 mg/dL, bicarbonate 24 mEq/L, and creatinine 1.7 mg/dL. What is the best initial step in the management of this patient?
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