Newborn anaesthesia

A mother with three-week old newborn (boy, 3500 g, 54 cm) comes to your surgical practice because of lack of thriving, apathy and severe projectile vomiting after each feed. Based on typical clinical presentation, clinical and USG finding the surgeon diagnoses pyloric stenosis. What are the main issues associated with this diagnosis?
RR
29 /min
HR
127 /min
SpO2
97 %
BP
78/40 (53) mmHg