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/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
IntakeOutput8-hour shiftsoup200 mLjelly100 mLice chips200 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 100 mLurine325 mLurine325 mLurine225 mLurine400 mLwound drain100 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 fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

soup: 200 mLjelly: 100 mLice chips: 200 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 100 mLurine: 325 mLurine: 325 mLurine: 225 mLurine: 400 mLwound drain: 100 mL
B = mL
4.Medium
IntakeOutput12-hour shiftjelly100 mLtea150 mLIV infusion125 mL/h × 12 hIV antibiotic2 × 50 mLurine250 mLurine450 mLurine425 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 109 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

109 kg12 hurine: 250 mLurine: 450 mLurine: 425 mLurine: 400 mL
U = mL/kg/h
5.Hard
500 mL→ 200 mL/hstart 07:00ttotal​ = ? h125 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 07:00 at 125 mL/h. After 3 hours the rate is changed to 200 mL/h and is not changed again. How many hours t after the start will the bag be empty? Round to one decimal place.

500 mL125 mL/h · 3 h200 mL/h
t = h
6.Hard
500 mL→ 200 mL/hstart 10:30ttotal​ = ? h80 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 10:30 at 80 mL/h. After 3 hours the rate is changed to 200 mL/h and is not changed again. How many hours t after the start will the bag be empty? Round to one decimal place.

500 mL80 mL/h · 3 h200 mL/h
t = h

Answer key

  1. 1. R = 20 mL/h
  2. 2. R = 60 mL/h
  3. 3. B = −295 mL
  4. 4. U = 1.17 mL/kg/h
  5. 5. t = 3.6 h
  6. 6. t = 4.3 h

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