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/h29 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 29 kg.

29 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day21 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 21 kg.

21 kg100-50-20
V = mL/day
3.Medium
IntakeOutput12-hour shiftmilk200 mLwater350 mLjuice100 mLIV infusion125 mL/h × 12 hIV antibiotic1 × 50 mLurine400 mLurine475 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 patient weighs 69 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

69 kg12 hurine: 400 mLurine: 475 mLwound drain: 30 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftwater240 mLsoup250 mLmilk200 mLice chips100 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 100 mLurine150 mLurine175 mLurine325 mLwound drain100 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-hour shift. The patient weighs 61 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

61 kg8 hurine: 150 mLurine: 175 mLurine: 325 mLwound drain: 100 mL
U = mL/kg/h
5.Hard
1000 mL→ 50 mL/hstart 06:00ttotal​ = ? h150 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 06:00 at 150 mL/h. After 3 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 mL150 mL/h · 3 h50 mL/h
t = h
6.Hard
1000 mL→ 75 mL/hstart 06:30ttotal​ = ? h120 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 06:30 at 120 mL/h. After 2 hours the rate is changed to 75 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 · 2 h75 mL/h
t = h

Answer key

  1. 1. R = 69 mL/h
  2. 2. V = 1520 mL/day
  3. 3. U = 1.06 mL/kg/h
  4. 4. U = 1.33 mL/kg/h
  5. 5. t = 14 h
  6. 6. t = 12.1 h

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