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/h77 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 77 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.

77 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h5 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 5 kg.

5 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftmilk200 mLtea150 mLIV infusion125 mL/h × 8 hIV antibiotic2 × 100 mLurine475 mLurine325 mLurine350 mLwound drain100 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.

milk: 200 mLtea: 150 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shifttea150 mLmilk240 mLIV infusion75 mL/h × 12 hIV antibiotic1 × 50 mLurine175 mLurine200 mLurine450 mLurine475 mLwound drain70 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 56 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

56 kg12 hurine: 175 mLurine: 200 mLurine: 450 mLurine: 475 mLwound drain: 70 mL
U = mL/kg/h
5.Hard
500 mL→ 50 mL/hstart 15:30ttotal​ = ? h80 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 15:30 at 80 mL/h. After 4 hours the rate is changed to 50 mL/h and is not changed again. How many hours t after the start will the bag be empty? Round to one decimal place.

500 mL80 mL/h · 4 h50 mL/h
t = h
6.Hard
1000 mL60 mL/hstart 06:3014:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 06:30 and runs by pump at 60 mL/h. How many mL V are left in the bag at 14:00?

1000 mL60 mL/h06:30 → 14:00
V = mL

Answer key

  1. 1. R = 75 mL/h
  2. 2. R = 20 mL/h
  3. 3. I = 1550 mL
  4. 4. U = 1.93 mL/kg/h
  5. 5. t = 7.6 h
  6. 6. V = 550 mL

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