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/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
2.Easy
maintenance4-2-1? mL/h27 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 27 kg.

27 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftwater200 mLmilk100 mLIV infusion60 mL/h × 12 hIV antibiotic1 × 50 mLurine200 mLurine475 mLurine350 mLwound drain40 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 fluid balance B = intake − output in mL (a negative answer means a net loss).

water: 200 mLmilk: 100 mLIV infusion: 60 mL/h × 12 hIV antibiotic: 1 × 50 mLurine: 200 mLurine: 475 mLurine: 350 mLwound drain: 40 mL
B = mL
4.Medium
IntakeOutput8-hour shiftwater240 mLjelly100 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 100 mLurine500 mLurine450 mLurine300 mLurine350 mLvomit250 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.

water: 240 mLjelly: 100 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
1000 mL500 mL infused125 mL/h14:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 125 mL/h. At 14:00, 500 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL500 mL infused125 mL/h
t = h
6.Hard
1000 mL150 mL/hstart 10:0014:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 10:00 and runs by pump at 150 mL/h. How many mL V are left in the bag at 14:00?

1000 mL150 mL/h10:00 → 14:00
V = mL

Answer key

  1. 1. R = 24 mL/h
  2. 2. R = 67 mL/h
  3. 3. B = 5 mL
  4. 4. I = 1020 mL
  5. 5. t = 4 h
  6. 6. V = 400 mL

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