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/h9 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 9 kg.

9 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftsoup180 mLmilk100 mLtea240 mLIV infusion75 mL/h × 8 hIV antibiotic1 × 100 mLurine175 mLurine300 mLurine200 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-hour shift. The patient weighs 53 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

53 kg8 hurine: 175 mLurine: 300 mLurine: 200 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shiftjelly100 mLwater150 mLjuice150 mLIV infusion75 mL/h × 12 hIV antibiotic2 × 100 mLurine450 mLurine400 mLurine375 mLwound drain50 mLvomit150 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.

jelly: 100 mLwater: 150 mLjuice: 150 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
500 mL200 mL infused80 mL/h20:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 80 mL/h. At 20:30, 200 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL200 mL infused80 mL/h
t = h
6.Hard
1000 mL350 mL infused125 mL/h22:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 125 mL/h. At 22:00, 350 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL350 mL infused125 mL/h
t = h

Answer key

  1. 1. R = 70 mL/h
  2. 2. R = 36 mL/h
  3. 3. U = 1.59 mL/kg/h
  4. 4. I = 1500 mL
  5. 5. t = 3.8 h
  6. 6. t = 5.2 h

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