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/h47 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 47 kg.

47 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day42 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 42 kg.

42 kg100-50-20
V = mL/day
3.Medium
IntakeOutput12-hour shiftjelly120 mLmilk200 mLsoup250 mLIV infusion80 mL/h × 12 hIV antibiotic1 × 50 mLurine500 mLurine400 mLwound drain150 mLvomit100 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).

jelly: 120 mLmilk: 200 mLsoup: 250 mLIV infusion: 80 mL/h × 12 hIV antibiotic: 1 × 50 mLurine: 500 mLurine: 400 mLwound drain: 150 mLvomit: 100 mL
B = mL
4.Medium
IntakeOutput12-hour shiftjuice100 mLjelly100 mLice chips100 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 50 mLurine300 mLurine200 mLurine375 mLurine300 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: 300 mLurine: 200 mLurine: 375 mLurine: 300 mL
U = mL/kg/h
5.Hard
1000 mL150 mL infused60 mL/h08:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 60 mL/h. At 08:30, 150 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL150 mL infused60 mL/h
t = h
6.Hard
1000 mL60 mL/hstart 06:1510:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 06:15 and runs by pump at 60 mL/h. How many mL V are left in the bag at 10:15?

1000 mL60 mL/h06:15 → 10:15
V = mL

Answer key

  1. 1. R = 87 mL/h
  2. 2. V = 1940 mL/day
  3. 3. B = 430 mL
  4. 4. U = 1.13 mL/kg/h
  5. 5. t = 14.2 h
  6. 6. V = 760 mL

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