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.

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy
maintenance4-2-1? mL/h77 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 77 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.

77 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h16 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 16 kg.

16 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shifttea150 mLjuice100 mLIV infusion125 mL/h × 12 hIV antibiotic1 × 100 mLurine150 mLurine300 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).

tea: 150 mLjuice: 100 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 1 × 100 mLurine: 150 mLurine: 300 mL
B = mL
4.Medium
IntakeOutput12-hour shiftjelly120 mLwater120 mLtea240 mLIV infusion75 mL/h × 12 hIV antibiotic1 × 50 mLurine425 mLurine150 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 IV infusion ran at the rate shown for the whole shift. Find the total intake I in mL.

jelly: 120 mLwater: 120 mLtea: 240 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 1 × 50 mL
I = mL
5.Hard
500 mL50 mL/hstart 07:1509:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 07:15 and runs by pump at 50 mL/h. How many mL V are left in the bag at 09:45?

500 mL50 mL/h07:15 → 09:45
V = mL
6.Hard
1000 mL100 mL/hstart 11:1513:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 11:15 and runs by pump at 100 mL/h. How many mL V are left in the bag at 13:15?

1000 mL100 mL/h11:15 → 13:15
V = mL

Answer key

  1. 1. R = 75 mL/h
  2. 2. R = 52 mL/h
  3. 3. B = 1400 mL
  4. 4. I = 1430 mL
  5. 5. V = 375 mL
  6. 6. V = 800 mL

Full step-by-step solutions: practise this topic on examproblems.com.