Muneeb Akhter

45-year-old patient is brought to the emergency room in adelirious state with weakness, blurred vision, dehydration, and hypothermia. He was diagnosed with type 1 diabetes mellitus 30 years back. On examination, he has a rapid pulse and her breathing is deep and labored, with a sickly sweet odor. His blood glucose is 256mg/dL and his urinary dipstick shows +2 ketonuria. What is the most important derangement to be seen on the arterial blood gases (ABG) of this patient?