The patient is hypercapnic, acidotic, and significantly hypoxemic based on the blood gas results. The first intervention is to increase the fraction of inspired oxygen being delivered to the patient to alleviate the hypoxemia. Suctioning without preoxygenating the patient can lead to further decompensation, so airway patency and suctioning is performed after the FiO2 is increased. The need for increased sedation or pain medication can take place now, as well. Once these immediate interventions have been tried, the provider should come to assess the patient to determine if increased ventilatory support is needed, like an increased ventilation rate.