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/day8 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 8 kg.

8 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h44 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 44 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.

44 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftwater240 mLjuice120 mLice chips100 mLIV infusion60 mL/h × 12 hIV antibiotic1 × 100 mLurine400 mLurine425 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 patient weighs 107 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

107 kg12 hurine: 400 mLurine: 425 mLwound drain: 60 mLvomit: 250 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shiftjuice120 mLjelly100 mLIV infusion125 mL/h × 12 hIV antibiotic2 × 50 mLurine250 mLurine250 mLurine300 mLvomit150 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 47 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

47 kg12 hurine: 250 mLurine: 250 mLurine: 300 mLvomit: 150 mL
U = mL/kg/h
5.Hard
1000 mL60 mL/hstart 11:4514:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 11:45 and runs by pump at 60 mL/h. How many mL V are left in the bag at 14:15?

1000 mL60 mL/h11:45 → 14:15
V = mL
6.Hard
500 mL250 mL infused100 mL/h16:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 100 mL/h. At 16:30, 250 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL250 mL infused100 mL/h
t = h

Answer key

  1. 1. V = 800 mL/day
  2. 2. R = 60 mL/h
  3. 3. U = 0.64 mL/kg/h
  4. 4. U = 1.42 mL/kg/h
  5. 5. V = 850 mL
  6. 6. t = 2.5 h

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