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/day49 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 49 kg.

49 kg100-50-20
V = mL/day
2.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
3.Medium
IntakeOutput12-hour shifttea200 mLsoup180 mLjelly100 mLice chips120 mLIV infusion75 mL/h × 12 hIV antibiotic1 × 50 mLurine450 mLurine225 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.

tea: 200 mLsoup: 180 mLjelly: 100 mLice chips: 120 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 1 × 50 mL
I = mL
4.Medium
IntakeOutput8-hour shiftmilk200 mLtea200 mLjelly100 mLice chips200 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 50 mLurine475 mLurine475 mLurine175 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 total intake I in mL. Count ice chips as half their volume.

milk: 200 mLtea: 200 mLjelly: 100 mLice chips: 200 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 2 × 50 mL
I = mL
5.Hard
500 mL→ 125 mL/hstart 13:00ttotal​ = ? h100 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 13:00 at 100 mL/h. After 4 hours the rate is changed to 125 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 mL100 mL/h · 4 h125 mL/h
t = h
6.Hard
1000 mL60 mL/hstart 11:4512:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 11:45 and runs by pump at 60 mL/h. How many mL V are left in the bag at 12:45?

1000 mL60 mL/h11:45 → 12:45
V = mL

Answer key

  1. 1. V = 2080 mL/day
  2. 2. R = 56 mL/h
  3. 3. I = 1490 mL
  4. 4. I = 1300 mL
  5. 5. t = 4.8 h
  6. 6. V = 940 mL

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