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/day18 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 18 kg.

18 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 shiftmilk200 mLwater350 mLsoup250 mLIV infusion50 mL/h × 12 hIV antibiotic1 × 100 mLurine225 mLurine300 mLurine325 mLurine450 mLvomit100 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 total intake I in mL.

milk: 200 mLwater: 350 mLsoup: 250 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftjelly120 mLtea200 mLmilk240 mLice chips100 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 100 mLurine375 mLurine350 mLurine225 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 total intake I in mL. Count ice chips as half their volume.

jelly: 120 mLtea: 200 mLmilk: 240 mLice chips: 100 mLIV infusion: 60 mL/h × 12 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
500 mL250 mL infused80 mL/h16:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 80 mL/h. At 16:00, 250 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL250 mL infused80 mL/h
t = h
6.Hard
1000 mL60 mL/hstart 11:0016:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 11:00 and runs by pump at 60 mL/h. How many mL V are left in the bag at 16:30?

1000 mL60 mL/h11:00 → 16:30
V = mL

Answer key

  1. 1. V = 1400 mL/day
  2. 2. R = 73 mL/h
  3. 3. I = 1500 mL
  4. 4. I = 1530 mL
  5. 5. t = 3.1 h
  6. 6. V = 670 mL

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