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/h45 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 45 kg.

45 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day10 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 10 kg.

10 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shifttea200 mLmilk100 mLice chips240 mLIV infusion80 mL/h × 8 hIV antibiotic1 × 100 mLurine425 mLurine275 mLurine375 mLvomit200 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 83 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

83 kg8 hurine: 425 mLurine: 275 mLurine: 375 mLvomit: 200 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shifttea240 mLwater200 mLjelly100 mLice chips120 mLIV infusion125 mL/h × 12 hIV antibiotic2 × 100 mLurine475 mLurine175 mLurine150 mLurine275 mLwound drain100 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 total intake I in mL. Count ice chips as half their volume.

tea: 240 mLwater: 200 mLjelly: 100 mLice chips: 120 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
1000 mL600 mL infused120 mL/h08:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 120 mL/h. At 08:00, 600 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL600 mL infused120 mL/h
t = h
6.Hard
1000 mL→ 60 mL/hstart 11:00ttotal​ = ? h120 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 11:00 at 120 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 mL120 mL/h · 2 h60 mL/h
t = h

Answer key

  1. 1. R = 85 mL/h
  2. 2. V = 1000 mL/day
  3. 3. U = 1.62 mL/kg/h
  4. 4. I = 2300 mL
  5. 5. t = 3.3 h
  6. 6. t = 14.7 h

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