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
maintenance100-50-20? mL/day10 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 10 kg.

10 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h28 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 28 kg.

28 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftmilk240 mLwater120 mLjuice120 mLice chips120 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 50 mLurine500 mLurine300 mLurine400 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. Count ice chips as half their volume.

milk: 240 mLwater: 120 mLjuice: 120 mLice chips: 120 mLIV infusion: 60 mL/h × 12 hIV antibiotic: 2 × 50 mL
I = mL
4.Medium
IntakeOutput8-hour shiftsoup200 mLwater300 mLjelly100 mLIV infusion80 mL/h × 8 hIV antibiotic2 × 50 mLurine275 mLurine475 mLurine275 mLurine225 mLvomit100 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 fluid balance B = intake − output in mL (a negative answer means a net loss).

soup: 200 mLwater: 300 mLjelly: 100 mLIV infusion: 80 mL/h × 8 hIV antibiotic: 2 × 50 mLurine: 275 mLurine: 475 mLurine: 275 mLurine: 225 mLvomit: 100 mL
B = mL
5.Hard
1000 mL125 mL/hstart 09:3014:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 09:30 and runs by pump at 125 mL/h. How many mL V are left in the bag at 14:30?

1000 mL125 mL/h09:30 → 14:30
V = mL
6.Hard
1000 mL250 mL infused120 mL/h09:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 120 mL/h. At 09:30, 250 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL250 mL infused120 mL/h
t = h

Answer key

  1. 1. V = 1000 mL/day
  2. 2. R = 68 mL/h
  3. 3. I = 1360 mL
  4. 4. B = −10 mL
  5. 5. V = 375 mL
  6. 6. t = 6.3 h

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