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/h6 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 6 kg.

6 kg4-2-1
R = mL/h
2.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
3.Medium
IntakeOutput12-hour shifttea150 mLsoup180 mLIV infusion75 mL/h × 12 hIV antibiotic2 × 50 mLurine400 mLurine300 mLwound drain130 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).

tea: 150 mLsoup: 180 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 400 mLurine: 300 mLwound drain: 130 mL
B = mL
4.Medium
IntakeOutput8-hour shiftjuice200 mLtea240 mLwater150 mLice chips120 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 100 mLurine350 mLurine225 mLurine175 mLwound drain120 mLvomit100 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.

juice: 200 mLtea: 240 mLwater: 150 mLice chips: 120 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 100 mLurine: 350 mLurine: 225 mLurine: 175 mLwound drain: 120 mLvomit: 100 mL
B = mL
5.Hard
1000 mL550 mL infused125 mL/h18:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 125 mL/h. At 18:30, 550 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL550 mL infused125 mL/h
t = h
6.Hard
1000 mL→ 80 mL/hstart 06:30ttotal​ = ? h75 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 06:30 at 75 mL/h. After 2 hours the rate is changed to 80 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 mL75 mL/h · 2 h80 mL/h
t = h

Answer key

  1. 1. R = 24 mL/h
  2. 2. R = 100 mL/h
  3. 3. B = 500 mL
  4. 4. B = 360 mL
  5. 5. t = 3.6 h
  6. 6. t = 12.6 h

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