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/h15 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 15 kg.

15 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day4 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 4 kg.

4 kg100-50-20
V = mL/day
3.Medium
IntakeOutput12-hour shiftwater350 mLsoup250 mLmilk200 mLIV infusion125 mL/h × 12 hIV antibiotic1 × 100 mLurine475 mLurine275 mLurine275 mLurine425 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 total intake I in mL.

water: 350 mLsoup: 250 mLmilk: 200 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftjelly120 mLwater350 mLice chips200 mLIV infusion60 mL/h × 12 hIV antibiotic1 × 50 mLurine350 mLurine250 mLvomit200 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 total intake I in mL. Count ice chips as half their volume.

jelly: 120 mLwater: 350 mLice chips: 200 mLIV infusion: 60 mL/h × 12 hIV antibiotic: 1 × 50 mL
I = mL
5.Hard
500 mL80 mL/hstart 06:3009:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 06:30 and runs by pump at 80 mL/h. How many mL V are left in the bag at 09:30?

500 mL80 mL/h06:30 → 09:30
V = mL
6.Hard
500 mL100 mL infused60 mL/h20:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 60 mL/h. At 20:30, 100 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL100 mL infused60 mL/h
t = h

Answer key

  1. 1. R = 50 mL/h
  2. 2. V = 400 mL/day
  3. 3. I = 2400 mL
  4. 4. I = 1340 mL
  5. 5. V = 260 mL
  6. 6. t = 6.7 h

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