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/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
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
3.Medium
IntakeOutput12-hour shiftjelly120 mLtea240 mLice chips100 mLIV infusion80 mL/h × 12 hIV antibiotic1 × 100 mLurine200 mLurine300 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 12-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.

jelly: 120 mLtea: 240 mLice chips: 100 mLIV infusion: 80 mL/h × 12 hIV antibiotic: 1 × 100 mLurine: 200 mLurine: 300 mL
B = mL
4.Medium
IntakeOutput8-hour shiftjelly120 mLjuice100 mLwater300 mLice chips200 mLIV infusion125 mL/h × 8 hIV antibiotic1 × 50 mLurine275 mLurine150 mLurine325 mLurine250 mLwound drain50 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.

jelly: 120 mLjuice: 100 mLwater: 300 mLice chips: 200 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 1 × 50 mLurine: 275 mLurine: 150 mLurine: 325 mLurine: 250 mLwound drain: 50 mL
B = mL
5.Hard
500 mL200 mL infused100 mL/h07:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 100 mL/h. At 07:00, 200 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL200 mL infused100 mL/h
t = h
6.Hard
500 mL→ 80 mL/hstart 18:30ttotal​ = ? h75 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 18:30 at 75 mL/h. After 3 hours the rate is changed to 80 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 mL75 mL/h · 3 h80 mL/h
t = h

Answer key

  1. 1. R = 50 mL/h
  2. 2. R = 20 mL/h
  3. 3. B = 970 mL
  4. 4. B = 620 mL
  5. 5. t = 3 h
  6. 6. t = 6.4 h

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