A 72-year-old male with long history of chronic obstructive…

A 72-year-old male with long history of chronic obstructive pulmonary disease enters the emergency department with bibasilar pneumonia.  The following data are rapidly accumulated:            FIO2        0.21                         RR 25    pH           7.24                         HR 108 PaCO2    80 mm Hg               BP 130/90 PaO2      42 mm Hg                Temp 101.2° F HCO3‾   34 BE         +5 What is the clinical assessment of this patient?  acute alveolar hyperventilation superimposed on chronic ventilatory failure  acute ventilatory failure superimposed on chronic ventilatory failure   chronic ventilatory failure  acute ventilatory failure