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.

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/h11 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 11 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.

11 lb1 kg = 2.2 lb4-2-1
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 shiftjuice200 mLtea150 mLIV infusion125 mL/h × 8 hIV antibiotic2 × 100 mLurine450 mLurine475 mLurine175 mLurine175 mLwound drain60 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).

juice: 200 mLtea: 150 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 2 × 100 mLurine: 450 mLurine: 475 mLurine: 175 mLurine: 175 mLwound drain: 60 mL
B = mL
4.Medium
IntakeOutput8-hour shiftwater350 mLmilk200 mLjelly100 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 50 mLurine450 mLurine200 mLurine400 mLurine475 mLwound drain130 mLvomit200 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: 350 mLmilk: 200 mLjelly: 100 mLIV infusion: 50 mL/h × 8 hIV antibiotic: 2 × 50 mL
I = mL
5.Hard
500 mL250 mL infused50 mL/h12:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 50 mL/h. At 12:30, 250 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL250 mL infused50 mL/h
t = h
6.Hard
500 mL→ 60 mL/hstart 15:00ttotal​ = ? h80 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 15:00 at 80 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.

500 mL80 mL/h · 3 h60 mL/h
t = h

Answer key

  1. 1. R = 20 mL/h
  2. 2. R = 50 mL/h
  3. 3. B = 215 mL
  4. 4. I = 1150 mL
  5. 5. t = 5 h
  6. 6. t = 7.3 h

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