1)
Why does it say "uv'Shem Hashem Ekra"?
1.
Brachos 60b: One must accept [and bless on] bad tidings with Simchah, just like for good tidings. It says "Kos Yeshu'os Esa uv'Shem Hashem Ekra" (13), and "Tzarah v'Yagon Emtza uv'Shem Hashem Ekra."
2.
Malbim: Even in good times, I called and prayed to Him, and all the more so when I am close to death!
2)
What is "Anah"?
1.
Radak: It is an expression of request. Sometimes it has a Hei at the end, and sometimes an Aleph.
3)
What is the request "Maletah Nafshi"?
1.
Malbim: Save me from She'ol (the grave).