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/h48 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 48 kg.

48 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day20 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 20 kg.

20 kg100-50-20
V = mL/day
3.Medium
IntakeOutput12-hour shiftjuice120 mLtea200 mLIV infusion50 mL/h × 12 hIV antibiotic1 × 100 mLurine275 mLurine225 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 fluid balance B = intake − output in mL (a negative answer means a net loss).

juice: 120 mLtea: 200 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 1 × 100 mLurine: 275 mLurine: 225 mLvomit: 200 mL
B = mL
4.Medium
IntakeOutput8-hour shiftmilk100 mLjelly120 mLice chips100 mLIV infusion125 mL/h × 8 hIV antibiotic1 × 50 mLurine375 mLurine350 mLurine275 mLwound drain150 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.

milk: 100 mLjelly: 120 mLice chips: 100 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 1 × 50 mL
I = mL
5.Hard
500 mL50 mL infused50 mL/h22:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 50 mL/h. At 22:00, 50 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL50 mL infused50 mL/h
t = h
6.Hard
1000 mL150 mL/hstart 12:3015:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 12:30 and runs by pump at 150 mL/h. How many mL V are left in the bag at 15:00?

1000 mL150 mL/h12:30 → 15:00
V = mL

Answer key

  1. 1. R = 88 mL/h
  2. 2. V = 1500 mL/day
  3. 3. B = 320 mL
  4. 4. I = 1320 mL
  5. 5. t = 9 h
  6. 6. V = 625 mL

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