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/h18 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 18 kg.

18 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h41 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 41 kg.

41 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftwater120 mLtea150 mLice chips120 mLIV infusion125 mL/h × 8 hIV antibiotic1 × 50 mLurine350 mLurine500 mLurine425 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.

water: 120 mLtea: 150 mLice chips: 120 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 1 × 50 mLurine: 350 mLurine: 500 mLurine: 425 mL
B = mL
4.Medium
IntakeOutput8-hour shifttea240 mLjuice100 mLice chips240 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 50 mLurine375 mLurine150 mLurine325 mLurine375 mLwound drain130 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-hour shift. The patient weighs 60 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

60 kg8 hurine: 375 mLurine: 150 mLurine: 325 mLurine: 375 mLwound drain: 130 mL
U = mL/kg/h
5.Hard
1000 mL150 mL infused150 mL/h20:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 150 mL/h. At 20:00, 150 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL150 mL infused150 mL/h
t = h
6.Hard
500 mL250 mL infused120 mL/h07:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 120 mL/h. At 07:30, 250 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL250 mL infused120 mL/h
t = h

Answer key

  1. 1. R = 56 mL/h
  2. 2. R = 81 mL/h
  3. 3. B = 105 mL
  4. 4. U = 2.55 mL/kg/h
  5. 5. t = 5.7 h
  6. 6. t = 2.1 h

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