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/day19 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 19 kg.

19 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h17 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 17 kg.

17 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftjelly120 mLwater240 mLsoup250 mLIV infusion75 mL/h × 8 hIV antibiotic1 × 50 mLurine175 mLurine425 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.

jelly: 120 mLwater: 240 mLsoup: 250 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 1 × 50 mL
I = mL
4.Medium
IntakeOutput12-hour shiftsoup150 mLmilk200 mLjuice100 mLice chips120 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 50 mLurine350 mLurine225 mLurine350 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 12-hour shift. The patient weighs 53 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

53 kg12 hurine: 350 mLurine: 225 mLurine: 350 mL
U = mL/kg/h
5.Hard
1000 mL→ 125 mL/hstart 13:00ttotal​ = ? h120 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 13:00 at 120 mL/h. After 4 hours the rate is changed to 125 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 mL120 mL/h · 4 h125 mL/h
t = h
6.Hard
1000 mL→ 60 mL/hstart 18:30ttotal​ = ? h125 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 18:30 at 125 mL/h. After 2 hours the rate is changed to 60 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 mL125 mL/h · 2 h60 mL/h
t = h

Answer key

  1. 1. V = 1450 mL/day
  2. 2. R = 54 mL/h
  3. 3. I = 1260 mL
  4. 4. U = 1.45 mL/kg/h
  5. 5. t = 8.2 h
  6. 6. t = 14.5 h

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