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/h33 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 33 lb. Using 1 kg = 2.2 lb and the Holliday–Segar 4-2-1 rule, find the hourly maintenance fluid rate R in mL/h.

33 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day13 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 13 kg.

13 kg100-50-20
V = mL/day
3.Medium
IntakeOutput12-hour shiftjuice120 mLmilk240 mLtea200 mLice chips200 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 50 mLurine250 mLurine375 mLurine375 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 62 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

62 kg12 hurine: 250 mLurine: 375 mLurine: 375 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shifttea240 mLjelly120 mLwater150 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 100 mLurine300 mLurine450 mLurine400 mLurine325 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 83 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

83 kg8 hurine: 300 mLurine: 450 mLurine: 400 mLurine: 325 mL
U = mL/kg/h
5.Hard
1000 mL→ 75 mL/hstart 07:00ttotal​ = ? h125 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 07:00 at 125 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 mL125 mL/h · 4 h75 mL/h
t = h
6.Hard
500 mL100 mL infused150 mL/h16:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 150 mL/h. At 16:30, 100 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL100 mL infused150 mL/h
t = h

Answer key

  1. 1. R = 50 mL/h
  2. 2. V = 1150 mL/day
  3. 3. U = 1.34 mL/kg/h
  4. 4. U = 2.22 mL/kg/h
  5. 5. t = 10.7 h
  6. 6. t = 2.7 h

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