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
maintenance4-2-1? mL/h51 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 51 kg.

51 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftjelly100 mLmilk200 mLsoup180 mLIV infusion75 mL/h × 12 hIV antibiotic2 × 100 mLurine275 mLurine225 mLurine275 mLwound drain110 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 fluid balance B = intake − output in mL (a negative answer means a net loss).

jelly: 100 mLmilk: 200 mLsoup: 180 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 2 × 100 mLurine: 275 mLurine: 225 mLurine: 275 mLwound drain: 110 mLvomit: 100 mL
B = mL
4.Medium
IntakeOutput8-hour shiftwater240 mLjuice120 mLtea240 mLice chips100 mLIV infusion100 mL/h × 8 hIV antibiotic2 × 50 mLurine450 mLurine300 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 patient weighs 60 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

60 kg8 hurine: 450 mLurine: 300 mLvomit: 200 mL
U = mL/kg/h
5.Hard
1000 mL350 mL infused100 mL/h21:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 100 mL/h. At 21:00, 350 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL350 mL infused100 mL/h
t = h
6.Hard
1000 mL150 mL/hstart 12:0013:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 12:00 and runs by pump at 150 mL/h. How many mL V are left in the bag at 13:00?

1000 mL150 mL/h12:00 → 13:00
V = mL

Answer key

  1. 1. R = 50 mL/h
  2. 2. R = 91 mL/h
  3. 3. B = 595 mL
  4. 4. U = 1.56 mL/kg/h
  5. 5. t = 6.5 h
  6. 6. V = 850 mL

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