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/h66 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 66 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.

66 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h55 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 55 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.

55 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftsoup180 mLtea240 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 100 mLurine350 mLurine225 mLurine450 mLurine275 mLwound drain40 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 78 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

78 kg12 hurine: 350 mLurine: 225 mLurine: 450 mLurine: 275 mLwound drain: 40 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftmilk200 mLwater240 mLIV infusion60 mL/h × 8 hIV antibiotic1 × 50 mLurine300 mLurine225 mLurine425 mLurine450 mLwound drain40 mLvomit150 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.

milk: 200 mLwater: 240 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 1 × 50 mL
I = mL
5.Hard
1000 mL50 mL/hstart 12:0018:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 12:00 and runs by pump at 50 mL/h. How many mL V are left in the bag at 18:00?

1000 mL50 mL/h12:00 → 18:00
V = mL
6.Hard
1000 mL→ 200 mL/hstart 12:00ttotal​ = ? h100 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 12:00 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

Answer key

  1. 1. R = 70 mL/h
  2. 2. R = 65 mL/h
  3. 3. U = 1.39 mL/kg/h
  4. 4. I = 970 mL
  5. 5. V = 700 mL
  6. 6. t = 6.5 h

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