preferred_name: Monitor for signs and symptoms of HCO3 excess and metabolic alkalosis (e.g., numbness and tingling of the extremities, muscular hypertonicity, shallow respirations with pause, bradycardia, tetany, urinary pH level greater than 7, plasma HCO3 level greater than 26 mEq/L, plasma pH level greater than 7.45, BE greater than 2 mEq/L, associated hypokalemia, and possible CO2 retention)