A 50-year-old man presents with altered sensorium and deep labored breathing. ABG shows: pH \(7.20\), \(pCO_2 = 35\) mmHg, \(HCO_3^- = 16\) mEq/L, \(Na^+ = 130\) mEq/L, \(Cl^- = 84\) mEq/L, \(PaO_2 = 80\) mmHg. What is the most likely acid-base abnormality?