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/day35 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 35 kg.

35 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h22 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 22 kg.

22 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shifttea150 mLmilk200 mLsoup150 mLIV infusion50 mL/h × 12 hIV antibiotic2 × 100 mLurine150 mLurine275 mLwound drain30 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).

tea: 150 mLmilk: 200 mLsoup: 150 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 2 × 100 mLurine: 150 mLurine: 275 mLwound drain: 30 mL
B = mL
4.Medium
IntakeOutput12-hour shiftmilk240 mLwater200 mLice chips240 mLIV infusion80 mL/h × 12 hIV antibiotic1 × 100 mLurine250 mLurine150 mLurine150 mLurine225 mLwound drain60 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 12-hour shift. The patient weighs 87 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

87 kg12 hurine: 250 mLurine: 150 mLurine: 150 mLurine: 225 mLwound drain: 60 mL
U = mL/kg/h
5.Hard
1000 mL60 mL/hstart 08:1516:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 08:15 and runs by pump at 60 mL/h. How many mL V are left in the bag at 16:15?

1000 mL60 mL/h08:15 → 16:15
V = mL
6.Hard
1000 mL75 mL/hstart 12:0017:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 12:00 and runs by pump at 75 mL/h. How many mL V are left in the bag at 17:00?

1000 mL75 mL/h12:00 → 17:00
V = mL

Answer key

  1. 1. V = 1800 mL/day
  2. 2. R = 62 mL/h
  3. 3. B = 845 mL
  4. 4. U = 0.74 mL/kg/h
  5. 5. V = 520 mL
  6. 6. V = 625 mL

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