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/h54 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 54 kg.

54 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h8 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 8 kg.

8 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shifttea150 mLwater250 mLIV infusion75 mL/h × 12 hIV antibiotic1 × 50 mLurine475 mLurine225 mLurine200 mLurine150 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 total intake I in mL.

tea: 150 mLwater: 250 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 1 × 50 mL
I = mL
4.Medium
IntakeOutput12-hour shiftjelly100 mLwater250 mLjuice200 mLice chips240 mLIV infusion80 mL/h × 12 hIV antibiotic1 × 100 mLurine175 mLurine425 mLurine200 mLurine200 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 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.

jelly: 100 mLwater: 250 mLjuice: 200 mLice chips: 240 mLIV infusion: 80 mL/h × 12 hIV antibiotic: 1 × 100 mLurine: 175 mLurine: 425 mLurine: 200 mLurine: 200 mLwound drain: 60 mL
B = mL
5.Hard
1000 mL150 mL infused125 mL/h10:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 125 mL/h. At 10:30, 150 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL150 mL infused125 mL/h
t = h
6.Hard
1000 mL80 mL/hstart 11:3017:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 11:30 and runs by pump at 80 mL/h. How many mL V are left in the bag at 17:30?

1000 mL80 mL/h11:30 → 17:30
V = mL

Answer key

  1. 1. R = 94 mL/h
  2. 2. R = 32 mL/h
  3. 3. I = 1350 mL
  4. 4. B = 670 mL
  5. 5. t = 6.8 h
  6. 6. V = 520 mL

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