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/h60 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 60 kg.

60 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day20 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 20 kg.

20 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shifttea240 mLjuice100 mLIV infusion50 mL/h × 8 hIV antibiotic1 × 50 mLurine500 mLurine350 mLurine325 mLurine200 mLwound drain50 mLvomit100 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 99 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

99 kg8 hurine: 500 mLurine: 350 mLurine: 325 mLurine: 200 mLwound drain: 50 mLvomit: 100 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shiftjuice120 mLwater150 mLmilk200 mLice chips200 mLIV infusion125 mL/h × 12 hIV antibiotic2 × 100 mLurine250 mLurine300 mLurine200 mLwound drain120 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.

juice: 120 mLwater: 150 mLmilk: 200 mLice chips: 200 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 2 × 100 mLurine: 250 mLurine: 300 mLurine: 200 mLwound drain: 120 mL
B = mL
5.Hard
500 mL200 mL infused100 mL/h10:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 100 mL/h. At 10:00, 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 mL250 mL infused150 mL/h14:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 150 mL/h. At 14:00, 250 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL250 mL infused150 mL/h
t = h

Answer key

  1. 1. R = 100 mL/h
  2. 2. V = 1500 mL/day
  3. 3. U = 1.74 mL/kg/h
  4. 4. B = 1400 mL
  5. 5. t = 3 h
  6. 6. t = 1.7 h

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