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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.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
2.Easy
maintenance100-50-20? mL/day5 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 100-50-20 method to find the daily maintenance fluid volume V in mL/day for a child who weighs 5 kg.

5 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shiftjuice200 mLwater120 mLice chips200 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 100 mLurine275 mLurine450 mLurine300 mLwound drain120 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 101 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

101 kg8 hurine: 275 mLurine: 450 mLurine: 300 mLwound drain: 120 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shifttea150 mLsoup250 mLice chips100 mLIV infusion80 mL/h × 8 hIV antibiotic2 × 100 mLurine450 mLurine400 mLurine475 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. Count ice chips as half their volume.

tea: 150 mLsoup: 250 mLice chips: 100 mLIV infusion: 80 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
1000 mL80 mL/hstart 06:1509:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 06:15 and runs by pump at 80 mL/h. How many mL V are left in the bag at 09:45?

1000 mL80 mL/h06:15 → 09:45
V = mL
6.Hard
1000 mL→ 60 mL/hstart 10:00ttotal​ = ? h75 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 10:00 at 75 mL/h. After 3 hours the rate is changed to 60 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 mL75 mL/h · 3 h60 mL/h
t = h

Answer key

  1. 1. R = 50 mL/h
  2. 2. V = 500 mL/day
  3. 3. U = 1.27 mL/kg/h
  4. 4. I = 1290 mL
  5. 5. V = 720 mL
  6. 6. t = 15.9 h

Full step-by-step solutions: practise this topic on examproblems.com.