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/h17 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 17 kg.

17 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h48 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 48 kg.

48 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftjuice100 mLwater150 mLice chips120 mLIV infusion125 mL/h × 12 hIV antibiotic2 × 50 mLurine400 mLurine175 mLurine475 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 fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

juice: 100 mLwater: 150 mLice chips: 120 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 400 mLurine: 175 mLurine: 475 mLurine: 425 mL
B = mL
4.Medium
IntakeOutput8-hour shiftwater150 mLmilk240 mLice chips200 mLIV infusion125 mL/h × 8 hIV antibiotic2 × 50 mLurine400 mLurine175 mLurine250 mLurine250 mLwound drain30 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 91 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

91 kg8 hurine: 400 mLurine: 175 mLurine: 250 mLurine: 250 mLwound drain: 30 mL
U = mL/kg/h
5.Hard
1000 mL750 mL infused100 mL/h10:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 100 mL/h. At 10:00, 750 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL750 mL infused100 mL/h
t = h
6.Hard
1000 mL→ 125 mL/hstart 17:30ttotal​ = ? h75 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 17:30 at 75 mL/h. After 3 hours the rate is changed to 125 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 mL75 mL/h · 3 h125 mL/h
t = h

Answer key

  1. 1. R = 54 mL/h
  2. 2. R = 88 mL/h
  3. 3. B = 435 mL
  4. 4. U = 1.48 mL/kg/h
  5. 5. t = 2.5 h
  6. 6. t = 9.2 h

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