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/h49 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 49 kg.

49 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h11 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 11 kg.

11 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftjelly120 mLwater200 mLsoup180 mLice chips120 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 100 mLurine275 mLurine400 mLurine375 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 95 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

95 kg8 hurine: 275 mLurine: 400 mLurine: 375 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftwater240 mLmilk240 mLice chips200 mLIV infusion60 mL/h × 8 hIV antibiotic1 × 50 mLurine275 mLurine325 mLurine225 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 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.

water: 240 mLmilk: 240 mLice chips: 200 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 1 × 50 mLurine: 275 mLurine: 325 mLurine: 225 mLurine: 500 mL
B = mL
5.Hard
1000 mL800 mL infused100 mL/h18:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 100 mL/h. At 18:00, 800 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL800 mL infused100 mL/h
t = h
6.Hard
1000 mL50 mL/hstart 09:3012:30: ? 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 12:30?

1000 mL50 mL/h09:30 → 12:30
V = mL

Answer key

  1. 1. R = 89 mL/h
  2. 2. R = 42 mL/h
  3. 3. U = 1.38 mL/kg/h
  4. 4. B = −215 mL
  5. 5. t = 2 h
  6. 6. V = 850 mL

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