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/h60 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 4-2-1 rule to find the hourly maintenance fluid rate R in mL/h for a child who weighs 60 kg.

60 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h51 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 4-2-1 rule to find the hourly maintenance fluid rate R in mL/h for a child who weighs 51 kg.

51 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftwater250 mLjuice100 mLice chips100 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 50 mLurine175 mLurine250 mLurine425 mLurine450 mLwound drain130 mLvomit200 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-hour shift. The patient weighs 108 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

108 kg8 hurine: 175 mLurine: 250 mLurine: 425 mLurine: 450 mLwound drain: 130 mLvomit: 200 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shiftjuice200 mLjelly100 mLice chips240 mLIV infusion75 mL/h × 12 hIV antibiotic2 × 100 mLurine275 mLurine150 mLwound drain150 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.

juice: 200 mLjelly: 100 mLice chips: 240 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
500 mL60 mL/hstart 08:1515:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 08:15 and runs by pump at 60 mL/h. How many mL V are left in the bag at 15:45?

500 mL60 mL/h08:15 → 15:45
V = mL
6.Hard
500 mL50 mL/hstart 14:0021:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 14:00 and runs by pump at 50 mL/h. How many mL V are left in the bag at 21:30?

500 mL50 mL/h14:00 → 21:30
V = mL

Answer key

  1. 1. R = 100 mL/h
  2. 2. R = 91 mL/h
  3. 3. U = 1.5 mL/kg/h
  4. 4. I = 1520 mL
  5. 5. V = 50 mL
  6. 6. V = 125 mL

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