A patient in ER is in severe respiratory distress. The patie…

A patient in ER is in severe respiratory distress. The patient is a known COPD patient who is normally on home oxygen at 1 L/m. The patient is placed on a nasal cannula at 4 L/min. After 4 hours, the patient is lethargic and breathing slow and shallow. ABGs reveal a Ph of 7.25, PaCO2 of 70 and a PaO2 of 80 mmHg. The patient is most likely suffers from: