Describe and interpret this arterial blood gas:

History: A 92-year-old woman with a history of ischaemic heart disease presents with respiratory distress and an altered conscious state. She is currently on BPAP.

pH 7.04 Na 139 mmol/L
pCO2 92 mmHg K 5.7 mmol/L
pO2 128 mmHg (FiO2 0.6) Cl 109 mmol/L
HCO3 24 mmol/L Glucose 13.8 mmol/L
Creatinine 243 μmol/L Lactate 1.4 mmol/L
Hb 105 g/dL
Blood Gas #23
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