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Sixty Minutes After a Patient Is Extubated,an Arterial Blood Gas

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Sixty minutes after a patient is extubated,an arterial blood gas sample is drawn; the results are: pH = 7.20,PₐCO₂ = 60 mm Hg,PₐO₂ = 55 mm Hg,SₐO₂ = 80%,HCO₃⁻ = 23 mEq/L with a 2 L/min nasal cannula.The patient is SOB and complaining of chest pain.His blood pressure is 92/50 mm Hg.The most likely cause of this weaning failure is which of the following?

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