The following blood gases results were given to a doctor to sign, explain the findings

PH = 7.238

pCO2 = 49.1 mmHg

pO2 = 47.7 mmHg

HCO3 20.2 mmol/L

Hb = 149 g/L

Na = 155 mmol/L

K = 3.1 mmol/L

Cl = 91 mmol/L

Ca < 0.20 mmol/L

Glucose = 5.2 mmol/L

Lactate = 1.2 mmol/L

Creatinine = 81 umol/L