preferred_name: Monitor for signs and symptoms of worsening HCO3 deficit or hydrogen ion excess (e.g., Kussmaul-Kien respirations, weakness, disorientation, headache, anorexia, coma, urinary pH level less than 6, plasma HCO3 level less than 22 mEq/L, plasma pH level less than 7.35, base excess less than -2 mEq/L, associated hyperkalemia, and possible CO2 deficit)