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/h77 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 77 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.

77 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h6 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 6 kg.

6 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftmilk100 mLwater250 mLjelly100 mLice chips200 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 100 mLurine400 mLurine500 mLurine200 mLurine250 mLwound drain150 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 94 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

94 kg12 hurine: 400 mLurine: 500 mLurine: 200 mLurine: 250 mLwound drain: 150 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftmilk200 mLtea150 mLwater240 mLIV infusion50 mL/h × 8 hIV antibiotic1 × 50 mLurine425 mLurine375 mLurine450 mLwound drain100 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.

milk: 200 mLtea: 150 mLwater: 240 mLIV infusion: 50 mL/h × 8 hIV antibiotic: 1 × 50 mL
I = mL
5.Hard
1000 mL150 mL/hstart 09:0012:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 09:00 and runs by pump at 150 mL/h. How many mL V are left in the bag at 12:00?

1000 mL150 mL/h09:00 → 12:00
V = mL
6.Hard
1000 mL75 mL/hstart 13:0017:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 13:00 and runs by pump at 75 mL/h. How many mL V are left in the bag at 17:00?

1000 mL75 mL/h13:00 → 17:00
V = mL

Answer key

  1. 1. R = 75 mL/h
  2. 2. R = 24 mL/h
  3. 3. U = 1.2 mL/kg/h
  4. 4. I = 1040 mL
  5. 5. V = 550 mL
  6. 6. V = 700 mL

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