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Sarah is an 83-year-old woman. Her worried husband brings her to the doctor because she seems lethargic and barely breathing. Her only health problems are glaucoma and gastric reflux disease; she uses eye drops for her glaucoma and while she has a proton pump inhibitor prescribed for her chronic heartburn, she prefers baking soda in water. Her doctor notices she is breathing 6 br/min (normal is 12-20). Her arterial blood gases are as follows (normal): pH 7.67 (7.40); PO2 63 mm Hg (100); PCO2 72 mm Hg (40); HCO3 62 mEq/L (25). What is her acid-base status?
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