IV fluids & fluid balance worksheet with answers

Free printable IV fluids & fluid balance worksheet: 6 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy
maintenance4-2-1? mL/h33 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 33 lb. Using 1 kg = 2.2 lb and the Holliday–Segar 4-2-1 rule, find the hourly maintenance fluid rate R in mL/h.

33 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day47 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 100-50-20 method to find the daily maintenance fluid volume V in mL/day for a child who weighs 47 kg.

47 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shifttea240 mLmilk100 mLice chips120 mLIV infusion80 mL/h × 8 hIV antibiotic1 × 50 mLurine150 mLurine450 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-hour shift. The IV infusion ran at the rate shown for the whole shift. Find the total intake I in mL. Count ice chips as half their volume.

tea: 240 mLmilk: 100 mLice chips: 120 mLIV infusion: 80 mL/h × 8 hIV antibiotic: 1 × 50 mL
I = mL
4.Medium
IntakeOutput12-hour shiftjelly120 mLjuice150 mLice chips240 mLIV infusion50 mL/h × 12 hIV antibiotic2 × 50 mLurine375 mLurine500 mLurine375 mLwound drain80 mLvomit200 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 12-hour shift. The IV infusion ran at the rate shown for the whole shift. Find the total intake I in mL. Count ice chips as half their volume.

jelly: 120 mLjuice: 150 mLice chips: 240 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 2 × 50 mL
I = mL
5.Hard
500 mL100 mL infused75 mL/h17:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 75 mL/h. At 17:30, 100 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL100 mL infused75 mL/h
t = h
6.Hard
1000 mL100 mL/hstart 06:3011:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 06:30 and runs by pump at 100 mL/h. How many mL V are left in the bag at 11:00?

1000 mL100 mL/h06:30 → 11:00
V = mL

Answer key

  1. 1. R = 50 mL/h
  2. 2. V = 2040 mL/day
  3. 3. I = 1090 mL
  4. 4. I = 1090 mL
  5. 5. t = 5.3 h
  6. 6. V = 550 mL

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