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/h38 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 38 kg.

38 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h33 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 33 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.

33 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shifttea240 mLjuice120 mLice chips240 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 50 mLurine200 mLurine375 mLurine250 mLwound drain40 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 105 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

105 kg8 hurine: 200 mLurine: 375 mLurine: 250 mLwound drain: 40 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shifttea240 mLjuice100 mLmilk200 mLice chips120 mLIV infusion75 mL/h × 12 hIV antibiotic2 × 50 mLurine400 mLurine300 mLurine350 mLurine450 mLwound drain110 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 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). Count ice chips as half their volume.

tea: 240 mLjuice: 100 mLmilk: 200 mLice chips: 120 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 400 mLurine: 300 mLurine: 350 mLurine: 450 mLwound drain: 110 mLvomit: 200 mL
B = mL
5.Hard
1000 mL60 mL/hstart 10:3013:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 10:30 and runs by pump at 60 mL/h. How many mL V are left in the bag at 13:00?

1000 mL60 mL/h10:30 → 13:00
V = mL
6.Hard
1000 mL50 mL/hstart 09:3014:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 09:30 and runs by pump at 50 mL/h. How many mL V are left in the bag at 14:30?

1000 mL50 mL/h09:30 → 14:30
V = mL

Answer key

  1. 1. R = 78 mL/h
  2. 2. R = 50 mL/h
  3. 3. U = 0.98 mL/kg/h
  4. 4. B = −210 mL
  5. 5. V = 850 mL
  6. 6. V = 750 mL

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