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/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
2.Easy
maintenance4-2-1? mL/h32 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 32 kg.

32 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftwater250 mLjuice100 mLice chips200 mLIV infusion80 mL/h × 8 hIV antibiotic2 × 100 mLurine400 mLurine500 mLurine150 mLwound drain70 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 87 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

87 kg8 hurine: 400 mLurine: 500 mLurine: 150 mLwound drain: 70 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftjelly120 mLjuice120 mLIV infusion125 mL/h × 8 hIV antibiotic2 × 100 mLurine375 mLurine225 mLwound drain120 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.

jelly: 120 mLjuice: 120 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
500 mL250 mL infused50 mL/h21:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 50 mL/h. At 21:00, 250 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL250 mL infused50 mL/h
t = h
6.Hard
1000 mL50 mL/hstart 09:0015:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 09:00 and runs by pump at 50 mL/h. How many mL V are left in the bag at 15:00?

1000 mL50 mL/h09:00 → 15:00
V = mL

Answer key

  1. 1. R = 70 mL/h
  2. 2. R = 72 mL/h
  3. 3. U = 1.51 mL/kg/h
  4. 4. I = 1440 mL
  5. 5. t = 5 h
  6. 6. V = 700 mL

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