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/h21 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 21 kg.

21 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h88 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 88 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.

88 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftsoup200 mLtea240 mLmilk100 mLice chips120 mLIV infusion60 mL/h × 8 hIV antibiotic1 × 100 mLurine500 mLurine450 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). Count ice chips as half their volume.

soup: 200 mLtea: 240 mLmilk: 100 mLice chips: 120 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 1 × 100 mLurine: 500 mLurine: 450 mL
B = mL
4.Medium
IntakeOutput12-hour shifttea200 mLwater300 mLjelly120 mLice chips240 mLIV infusion75 mL/h × 12 hIV antibiotic1 × 100 mLurine400 mLurine400 mLurine225 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 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.

tea: 200 mLwater: 300 mLjelly: 120 mLice chips: 240 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
5.Hard
500 mL75 mL/hstart 11:0017:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 11:00 and runs by pump at 75 mL/h. How many mL V are left in the bag at 17:00?

500 mL75 mL/h11:00 → 17:00
V = mL
6.Hard
1000 mL→ 125 mL/hstart 07:00ttotal​ = ? h120 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 07:00 at 120 mL/h. After 3 hours the rate is changed to 125 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 mL120 mL/h · 3 h125 mL/h
t = h

Answer key

  1. 1. R = 61 mL/h
  2. 2. R = 80 mL/h
  3. 3. B = 230 mL
  4. 4. I = 1740 mL
  5. 5. V = 50 mL
  6. 6. t = 8.1 h

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