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/h7 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 7 kg.

7 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h29 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 29 kg.

29 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftmilk200 mLwater300 mLice chips200 mLIV infusion100 mL/h × 12 hIV antibiotic1 × 50 mLurine225 mLurine375 mLurine450 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.

milk: 200 mLwater: 300 mLice chips: 200 mLIV infusion: 100 mL/h × 12 hIV antibiotic: 1 × 50 mL
I = mL
4.Medium
IntakeOutput8-hour shiftwater300 mLjelly120 mLice chips120 mLIV infusion50 mL/h × 8 hIV antibiotic1 × 100 mLurine375 mLurine300 mLurine350 mLurine500 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 67 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

67 kg8 hurine: 375 mLurine: 300 mLurine: 350 mLurine: 500 mL
U = mL/kg/h
5.Hard
1000 mL→ 75 mL/hstart 16:30ttotal​ = ? h80 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 16:30 at 80 mL/h. After 3 hours the rate is changed to 75 mL/h and is not changed again. How many hours t after the start will the bag be empty? Round to one decimal place.

1000 mL80 mL/h · 3 h75 mL/h
t = h
6.Hard
500 mL→ 100 mL/hstart 06:00ttotal​ = ? h125 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 06:00 at 125 mL/h. After 2 hours the rate is changed to 100 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 mL125 mL/h · 2 h100 mL/h
t = h

Answer key

  1. 1. R = 28 mL/h
  2. 2. R = 69 mL/h
  3. 3. I = 1850 mL
  4. 4. U = 2.85 mL/kg/h
  5. 5. t = 13.1 h
  6. 6. t = 4.5 h

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