What acid-base disturbance is present in this arterial blood gas analysis?

A patient with acute respiratory failure was examined in a ER with dyspnea, suspected of pneumonia and the following arterial blood gas was analysis:

Quiz39 1

Which acid-base disturbance is present?

a) Respiratory acidosis
b) Metabolic acidosis
c) Metabolic acidosis and respiratory alkalosis
d) Respiratory acidosis and metabolic alkalosis

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