A 46-year-old woman is found down by some bystanders. The me…

A 46-year-old woman is found down by some bystanders. The medics are called and, upon arrival, find her with an oxygen saturation of 88% on room air and pinpoint pupils on exam. She is brought into the ER where a room air arterial blood gas is performed and reveals: pH 7.25, PaCO2 60 mmHg, PaO2 65 mmHg, HCO3- 23 mEq/L, Base Excess 1. On her chemistry panel, her sodium is 137, chloride 100, bicarbonate 25. What is your interpretation of this patient’s acid-base status?