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/day27 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 27 kg.

27 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h50 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 50 kg.

50 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftjelly120 mLwater240 mLIV infusion60 mL/h × 12 hIV antibiotic1 × 50 mLurine475 mLurine150 mLurine150 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 61 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

61 kg12 hurine: 475 mLurine: 150 mLurine: 150 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shiftsoup200 mLjelly120 mLice chips100 mLIV infusion50 mL/h × 12 hIV antibiotic1 × 50 mLurine250 mLurine175 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 79 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

79 kg12 hurine: 250 mLurine: 175 mL
U = mL/kg/h
5.Hard
500 mL→ 80 mL/hstart 18:30ttotal​ = ? h75 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 18:30 at 75 mL/h. After 4 hours the rate is changed to 80 mL/h and is not changed again. How many hours t after the start will the bag be empty? Round to one decimal place.

500 mL75 mL/h · 4 h80 mL/h
t = h
6.Hard
1000 mL→ 60 mL/hstart 16:30ttotal​ = ? h125 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 16:30 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 = 1640 mL/day
  2. 2. R = 90 mL/h
  3. 3. U = 1.06 mL/kg/h
  4. 4. U = 0.45 mL/kg/h
  5. 5. t = 6.5 h
  6. 6. t = 14.5 h

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