A patient's arterial blood gas (ABG) results are as follows:

 

ParameterGiven ValueReference Range
pH7.257.35 - 7.45
PaCO₂50 mmHg35 - 45 mmHg
HCO₃⁻24 mEq/L22 - 26 mEq/L

What is the most likely acid-base disturbance?

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