Updated Clinical Presentation: Ms. Lewis’s respiratory rate…

Updated Clinical Presentation: Ms. Lewis’s respiratory rate has further increased to 40 breaths per minute. Oxygen saturation has dropped to 88% on supplemental oxygen. She exhibits increased restlessness, confusion, and lethargy. Breath sounds reveal diminished air entry bilaterally. Laboratory Results Arterial Blood Gas pH 7.30 PaCO2 58 HCO3 24 mEq/L Serum electrolytes: Na+ 140 mEq/L, K+ 4.2 mEq/L, Cl- 98 mEq/L, CO2 42 mEq/L Identify the new acid-base disorder based on the updated ABG results. [compensation] [metabolicorrespiratory] [acidosisoralkalosis]