Based on the arterial blood gas results, Sarah has respiratory acidosis. Potential problems that can occur with respiratory acidosis are neurological damage, multiple organ dysfunction, and even death (Mendez et al., 2019). Neurological damage causes confusion, drowsiness, or loss of consciousness. Damage to the alveoli interferes with blood oxygenation, and heart rate increases to increase cardiac output. Sarah’s low oxygen saturation on room air and bilateral pneumonia on chest x-ray are indicative of respiratory failure. When the body is experiencing respiratory failure, it cannot properly oxygenate or eliminate carbon dioxide through the respiratory system. Respiratory failure can be further classified as hypoxemic or hypercapnic. In hypoxemic failure, there is no oxygen in the body. In hypercapnic, there is an excess of carbon dioxide.