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/h37 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 37 kg.

37 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h22 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 22 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.

22 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftwater120 mLsoup150 mLice chips100 mLIV infusion100 mL/h × 12 hIV antibiotic1 × 100 mLurine500 mLurine450 mLurine450 mLwound drain30 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 102 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

102 kg12 hurine: 500 mLurine: 450 mLurine: 450 mLwound drain: 30 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftmilk240 mLwater200 mLjuice200 mLice chips120 mLIV infusion60 mL/h × 8 hIV antibiotic1 × 100 mLurine250 mLurine325 mLwound drain140 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 103 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

103 kg8 hurine: 250 mLurine: 325 mLwound drain: 140 mL
U = mL/kg/h
5.Hard
500 mL250 mL infused80 mL/h10:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 80 mL/h. At 10:30, 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 mL75 mL/hstart 06:3007:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 06:30 and runs by pump at 75 mL/h. How many mL V are left in the bag at 07:30?

1000 mL75 mL/h06:30 → 07:30
V = mL

Answer key

  1. 1. R = 77 mL/h
  2. 2. R = 40 mL/h
  3. 3. U = 1.14 mL/kg/h
  4. 4. U = 0.7 mL/kg/h
  5. 5. t = 3.1 h
  6. 6. V = 925 mL

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