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/h57 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 57 kg.

57 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h88 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 88 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.

88 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shifttea200 mLsoup250 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 50 mLurine200 mLurine250 mLwound drain120 mLvomit200 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 52 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

52 kg12 hurine: 200 mLurine: 250 mLwound drain: 120 mLvomit: 200 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shiftjelly100 mLjuice150 mLsoup250 mLice chips200 mLIV infusion80 mL/h × 12 hIV antibiotic2 × 50 mLurine225 mLurine175 mLurine150 mLwound drain130 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 62 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

62 kg12 hurine: 225 mLurine: 175 mLurine: 150 mLwound drain: 130 mL
U = mL/kg/h
5.Hard
1000 mL50 mL/hstart 08:3011:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 08:30 and runs by pump at 50 mL/h. How many mL V are left in the bag at 11:00?

1000 mL50 mL/h08:30 → 11:00
V = mL
6.Hard
500 mL150 mL/hstart 06:1507:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 06:15 and runs by pump at 150 mL/h. How many mL V are left in the bag at 07:45?

500 mL150 mL/h06:15 → 07:45
V = mL

Answer key

  1. 1. R = 97 mL/h
  2. 2. R = 80 mL/h
  3. 3. U = 0.72 mL/kg/h
  4. 4. U = 0.74 mL/kg/h
  5. 5. V = 875 mL
  6. 6. V = 275 mL

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