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/day23 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 23 kg.

23 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h33 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 33 kg.

33 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftjelly120 mLjuice100 mLIV infusion50 mL/h × 12 hIV antibiotic1 × 50 mLurine300 mLurine250 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).

jelly: 120 mLjuice: 100 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 1 × 50 mLurine: 300 mLurine: 250 mL
B = mL
4.Medium
IntakeOutput12-hour shiftwater150 mLtea150 mLIV infusion75 mL/h × 12 hIV antibiotic2 × 100 mLurine425 mLurine325 mLurine500 mLurine400 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 55 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

55 kg12 hurine: 425 mLurine: 325 mLurine: 500 mLurine: 400 mL
U = mL/kg/h
5.Hard
1000 mL125 mL/hstart 08:4511:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 08:45 and runs by pump at 125 mL/h. How many mL V are left in the bag at 11:45?

1000 mL125 mL/h08:45 → 11:45
V = mL
6.Hard
500 mL100 mL infused100 mL/h20:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 100 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 infused100 mL/h
t = h

Answer key

  1. 1. V = 1560 mL/day
  2. 2. R = 73 mL/h
  3. 3. B = 320 mL
  4. 4. U = 2.5 mL/kg/h
  5. 5. V = 625 mL
  6. 6. t = 4 h

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