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/h11 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 11 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.

11 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h44 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 44 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.

44 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shifttea200 mLmilk240 mLjelly120 mLice chips100 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 50 mLurine175 mLurine325 mLwound drain30 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 fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

tea: 200 mLmilk: 240 mLjelly: 120 mLice chips: 100 mLIV infusion: 100 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 175 mLurine: 325 mLwound drain: 30 mL
B = mL
4.Medium
IntakeOutput8-hour shiftsoup250 mLjelly120 mLice chips100 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 50 mLurine150 mLurine150 mLurine350 mLurine500 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.

soup: 250 mLjelly: 120 mLice chips: 100 mLIV infusion: 50 mL/h × 8 hIV antibiotic: 2 × 50 mL
I = mL
5.Hard
500 mL50 mL infused150 mL/h14:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 150 mL/h. At 14:00, 50 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL50 mL infused150 mL/h
t = h
6.Hard
1000 mL→ 50 mL/hstart 16:30ttotal​ = ? h100 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 16:30 at 100 mL/h. After 4 hours the rate is changed to 50 mL/h and is not changed again. How many hours t after the start will the bag be empty? Round to one decimal place.

1000 mL100 mL/h · 4 h50 mL/h
t = h

Answer key

  1. 1. R = 20 mL/h
  2. 2. R = 60 mL/h
  3. 3. B = 1380 mL
  4. 4. I = 920 mL
  5. 5. t = 3 h
  6. 6. t = 16 h

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