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/h49 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 49 kg.

49 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h11 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 11 lb. Using 1 kg = 2.2 lb and the Holliday–Segar 4-2-1 rule, find the hourly maintenance fluid rate R in mL/h.

11 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftjelly120 mLwater150 mLsoup250 mLIV infusion50 mL/h × 12 hIV antibiotic2 × 50 mLurine225 mLurine300 mLurine325 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 total intake I in mL.

jelly: 120 mLwater: 150 mLsoup: 250 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 2 × 50 mL
I = mL
4.Medium
IntakeOutput8-hour shiftwater200 mLjelly100 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 50 mLurine375 mLurine475 mLwound drain60 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 85 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

85 kg8 hurine: 375 mLurine: 475 mLwound drain: 60 mL
U = mL/kg/h
5.Hard
500 mL150 mL infused100 mL/h18:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 100 mL/h. At 18:30, 150 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL150 mL infused100 mL/h
t = h
6.Hard
1000 mL450 mL infused80 mL/h20:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 80 mL/h. At 20:00, 450 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL450 mL infused80 mL/h
t = h

Answer key

  1. 1. R = 89 mL/h
  2. 2. R = 20 mL/h
  3. 3. I = 1220 mL
  4. 4. U = 1.25 mL/kg/h
  5. 5. t = 3.5 h
  6. 6. t = 6.9 h

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