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/h38 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 38 kg.

38 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day33 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 33 kg.

33 kg100-50-20
V = mL/day
3.Medium
IntakeOutput12-hour shiftwater250 mLmilk100 mLjelly120 mLIV infusion60 mL/h × 12 hIV antibiotic1 × 100 mLurine450 mLurine425 mLurine150 mLurine250 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 89 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

89 kg12 hurine: 450 mLurine: 425 mLurine: 150 mLurine: 250 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftjelly100 mLjuice100 mLice chips120 mLIV infusion80 mL/h × 8 hIV antibiotic1 × 50 mLurine425 mLurine150 mLurine300 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 80 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

80 kg8 hurine: 425 mLurine: 150 mLurine: 300 mLwound drain: 30 mL
U = mL/kg/h
5.Hard
1000 mL→ 100 mL/hstart 16:30ttotal​ = ? h80 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 16:30 at 80 mL/h. After 4 hours the rate is changed to 100 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 mL80 mL/h · 4 h100 mL/h
t = h
6.Hard
1000 mL150 mL/hstart 13:1515:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 13:15 and runs by pump at 150 mL/h. How many mL V are left in the bag at 15:15?

1000 mL150 mL/h13:15 → 15:15
V = mL

Answer key

  1. 1. R = 78 mL/h
  2. 2. V = 1760 mL/day
  3. 3. U = 1.19 mL/kg/h
  4. 4. U = 1.37 mL/kg/h
  5. 5. t = 10.8 h
  6. 6. V = 700 mL

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