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/h36 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 36 kg.

36 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h66 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 66 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.

66 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftmilk100 mLjelly120 mLice chips120 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 50 mLurine400 mLurine425 mLurine400 mLwound drain50 mLvomit200 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.

milk: 100 mLjelly: 120 mLice chips: 120 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 50 mL
I = mL
4.Medium
IntakeOutput8-hour shiftjelly120 mLtea150 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 100 mLurine300 mLurine400 mLurine300 mLwound drain70 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.

jelly: 120 mLtea: 150 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
500 mL80 mL/hstart 07:1508:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 07:15 and runs by pump at 80 mL/h. How many mL V are left in the bag at 08:15?

500 mL80 mL/h07:15 → 08:15
V = mL
6.Hard
1000 mL50 mL/hstart 08:4516:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 08:45 and runs by pump at 50 mL/h. How many mL V are left in the bag at 16:15?

1000 mL50 mL/h08:45 → 16:15
V = mL

Answer key

  1. 1. R = 76 mL/h
  2. 2. R = 70 mL/h
  3. 3. I = 860 mL
  4. 4. I = 1070 mL
  5. 5. V = 420 mL
  6. 6. V = 625 mL

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