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/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
2.Easy
maintenance4-2-1? mL/h22 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 22 kg.

22 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftmilk200 mLjuice120 mLice chips240 mLIV infusion125 mL/h × 12 hIV antibiotic1 × 50 mLurine325 mLurine300 mLurine450 mLwound drain110 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 mLjuice: 120 mLice chips: 240 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 1 × 50 mLurine: 325 mLurine: 300 mLurine: 450 mLwound drain: 110 mL
B = mL
4.Medium
IntakeOutput8-hour shifttea200 mLsoup250 mLmilk200 mLice chips240 mLIV infusion125 mL/h × 8 hIV antibiotic2 × 100 mLurine275 mLurine375 mLurine450 mLurine425 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. Count ice chips as half their volume.

tea: 200 mLsoup: 250 mLmilk: 200 mLice chips: 240 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
500 mL200 mL infused60 mL/h21:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 60 mL/h. At 21:00, 200 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL200 mL infused60 mL/h
t = h
6.Hard
1000 mL50 mL/hstart 09:1512:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 09:15 and runs by pump at 50 mL/h. How many mL V are left in the bag at 12:45?

1000 mL50 mL/h09:15 → 12:45
V = mL

Answer key

  1. 1. R = 20 mL/h
  2. 2. R = 62 mL/h
  3. 3. B = 805 mL
  4. 4. I = 1970 mL
  5. 5. t = 5 h
  6. 6. V = 825 mL

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