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
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
2.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
3.Medium
IntakeOutput8-hour shiftsoup150 mLmilk100 mLice chips100 mLIV infusion125 mL/h × 8 hIV antibiotic1 × 100 mLurine350 mLurine150 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.

soup: 150 mLmilk: 100 mLice chips: 100 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftjelly100 mLtea200 mLIV infusion50 mL/h × 12 hIV antibiotic1 × 100 mLurine300 mLurine200 mLurine475 mLwound drain80 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 12-hour shift. The patient weighs 93 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

93 kg12 hurine: 300 mLurine: 200 mLurine: 475 mLwound drain: 80 mL
U = mL/kg/h
5.Hard
1000 mL→ 200 mL/hstart 18:00ttotal​ = ? h100 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 18:00 at 100 mL/h. After 3 hours the rate is changed to 200 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 mL100 mL/h · 3 h200 mL/h
t = h
6.Hard
1000 mL150 mL infused75 mL/h08:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 75 mL/h. At 08:00, 150 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL150 mL infused75 mL/h
t = h

Answer key

  1. 1. V = 500 mL/day
  2. 2. R = 78 mL/h
  3. 3. I = 1400 mL
  4. 4. U = 0.87 mL/kg/h
  5. 5. t = 6.5 h
  6. 6. t = 11.3 h

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