Little Billy got into some prescription medication in Dad’s…

Little Billy got into some prescription medication in Dad’s bathroom. You see him in the ED 3 hours after ingestion. He is obtunded with a respiratory rate of 4 breaths per minute. A blood gas is obtained that reflects the following values: pH 7.16, PaCO2 70, PaO2 61, HCO3 22, SaO2 90%. Which of the following statements best describes little Billy’s overall V/Q status?