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/day22 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 22 kg.

22 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h22 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 22 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.

22 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftjelly100 mLsoup250 mLice chips100 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 100 mLurine500 mLurine200 mLurine275 mLwound drain80 mLvomit250 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. Count ice chips as half their volume.

jelly: 100 mLsoup: 250 mLice chips: 100 mLIV infusion: 50 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftjuice120 mLwater200 mLIV infusion125 mL/h × 12 hIV antibiotic1 × 50 mLurine375 mLurine400 mLurine500 mLwound drain60 mLvomit250 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).

juice: 120 mLwater: 200 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 1 × 50 mLurine: 375 mLurine: 400 mLurine: 500 mLwound drain: 60 mLvomit: 250 mL
B = mL
5.Hard
1000 mL80 mL/hstart 06:0008:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 06:00 and runs by pump at 80 mL/h. How many mL V are left in the bag at 08:30?

1000 mL80 mL/h06:00 → 08:30
V = mL
6.Hard
500 mL125 mL/hstart 07:4510:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 07:45 and runs by pump at 125 mL/h. How many mL V are left in the bag at 10:45?

500 mL125 mL/h07:45 → 10:45
V = mL

Answer key

  1. 1. V = 1540 mL/day
  2. 2. R = 40 mL/h
  3. 3. I = 1000 mL
  4. 4. B = 285 mL
  5. 5. V = 800 mL
  6. 6. V = 125 mL

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