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
maintenance100-50-20? mL/day49 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 49 kg.

49 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h53 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 53 kg.

53 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shifttea240 mLwater350 mLjelly120 mLice chips120 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 100 mLurine475 mLurine250 mLurine450 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.

tea: 240 mLwater: 350 mLjelly: 120 mLice chips: 120 mLIV infusion: 100 mL/h × 12 hIV antibiotic: 2 × 100 mLurine: 475 mLurine: 250 mLurine: 450 mL
B = mL
4.Medium
IntakeOutput8-hour shiftjelly120 mLwater350 mLsoup180 mLice chips120 mLIV infusion100 mL/h × 8 hIV antibiotic2 × 50 mLurine325 mLurine300 mLurine250 mLwound drain100 mLvomit200 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 62 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

62 kg8 hurine: 325 mLurine: 300 mLurine: 250 mLwound drain: 100 mLvomit: 200 mL
U = mL/kg/h
5.Hard
500 mL250 mL infused150 mL/h09:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 150 mL/h. At 09:00, 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
6.Hard
500 mL50 mL infused60 mL/h13:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 60 mL/h. At 13:00, 50 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL50 mL infused60 mL/h
t = h

Answer key

  1. 1. V = 2080 mL/day
  2. 2. R = 93 mL/h
  3. 3. B = 995 mL
  4. 4. U = 1.76 mL/kg/h
  5. 5. t = 1.7 h
  6. 6. t = 7.5 h

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