The following assessment findings commonly occur in patients with metabolic acidosis:
- confusion
 - decreased deep tendon reflexes
 - a dull headache
 - hyperkalemic signs and symptoms, including abdominal cramping, diarrhea, muscle weakness, and ECG changes
 - hypotension
 - Kussmaul respirations
 - lethargy
 - warm, dry skin
 - nausea
 - fruity breath
 - coma.