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/h44 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 44 kg.

44 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h16 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 16 kg.

16 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftsoup250 mLmilk200 mLjelly100 mLice chips200 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 50 mLurine425 mLurine175 mLurine400 mLurine425 mLvomit250 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-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.

soup: 250 mLmilk: 200 mLjelly: 100 mLice chips: 200 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 50 mLurine: 425 mLurine: 175 mLurine: 400 mLurine: 425 mLvomit: 250 mL
B = mL
4.Medium
IntakeOutput8-hour shiftsoup180 mLwater300 mLjelly120 mLice chips120 mLIV infusion60 mL/h × 8 hIV antibiotic1 × 100 mLurine275 mLurine375 mLurine500 mLurine300 mLvomit150 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-hour shift. The IV infusion ran at the rate shown for the whole shift. Find the total intake I in mL. Count ice chips as half their volume.

soup: 180 mLwater: 300 mLjelly: 120 mLice chips: 120 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 1 × 100 mL
I = mL
5.Hard
1000 mL→ 75 mL/hstart 12:30ttotal​ = ? h120 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 12:30 at 120 mL/h. After 4 hours the rate is changed to 75 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 mL120 mL/h · 4 h75 mL/h
t = h
6.Hard
1000 mL250 mL infused125 mL/h07:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 125 mL/h. At 07:30, 250 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL250 mL infused125 mL/h
t = h

Answer key

  1. 1. R = 84 mL/h
  2. 2. R = 52 mL/h
  3. 3. B = −445 mL
  4. 4. I = 1240 mL
  5. 5. t = 10.9 h
  6. 6. t = 6 h

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