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
maintenance100-50-20? mL/day4 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 4 kg.

4 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h18 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 18 kg.

18 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shifttea240 mLwater350 mLice chips120 mLIV infusion80 mL/h × 8 hIV antibiotic1 × 50 mLurine475 mLurine300 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 fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

tea: 240 mLwater: 350 mLice chips: 120 mLIV infusion: 80 mL/h × 8 hIV antibiotic: 1 × 50 mLurine: 475 mLurine: 300 mL
B = mL
4.Medium
IntakeOutput12-hour shiftmilk240 mLsoup180 mLice chips200 mLIV infusion80 mL/h × 12 hIV antibiotic2 × 100 mLurine275 mLurine300 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.

milk: 240 mLsoup: 180 mLice chips: 200 mLIV infusion: 80 mL/h × 12 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
500 mL200 mL infused100 mL/h09:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 100 mL/h. At 09:00, 200 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL200 mL infused100 mL/h
t = h
6.Hard
1000 mL500 mL infused120 mL/h17:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 120 mL/h. At 17:00, 500 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL500 mL infused120 mL/h
t = h

Answer key

  1. 1. V = 400 mL/day
  2. 2. R = 56 mL/h
  3. 3. B = 565 mL
  4. 4. I = 1680 mL
  5. 5. t = 3 h
  6. 6. t = 4.2 h

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