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/day29 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 29 kg.

29 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h66 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 66 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.

66 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftmilk200 mLjelly120 mLtea200 mLice chips240 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 50 mLurine300 mLurine275 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 fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

milk: 200 mLjelly: 120 mLtea: 200 mLice chips: 240 mLIV infusion: 60 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 300 mLurine: 275 mLvomit: 200 mL
B = mL
4.Medium
IntakeOutput8-hour shiftwater200 mLmilk200 mLjelly100 mLice chips200 mLIV infusion125 mL/h × 8 hIV antibiotic2 × 100 mLurine350 mLurine250 mLurine150 mLurine350 mLwound drain110 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 63 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

63 kg8 hurine: 350 mLurine: 250 mLurine: 150 mLurine: 350 mLwound drain: 110 mLvomit: 200 mL
U = mL/kg/h
5.Hard
500 mL100 mL infused75 mL/h20:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 75 mL/h. At 20:30, 100 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL100 mL infused75 mL/h
t = h
6.Hard
1000 mL50 mL infused120 mL/h11:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 120 mL/h. At 11:00, 50 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL50 mL infused120 mL/h
t = h

Answer key

  1. 1. V = 1680 mL/day
  2. 2. R = 70 mL/h
  3. 3. B = 685 mL
  4. 4. U = 2.18 mL/kg/h
  5. 5. t = 5.3 h
  6. 6. t = 7.9 h

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