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/h44 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 44 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.

44 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.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
3.Medium
IntakeOutput12-hour shiftmilk100 mLjelly100 mLwater120 mLice chips240 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 50 mLurine375 mLurine150 mLurine500 mLurine500 mLwound drain90 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: 100 mLjelly: 100 mLwater: 120 mLice chips: 240 mLIV infusion: 100 mL/h × 12 hIV antibiotic: 2 × 50 mL
I = mL
4.Medium
IntakeOutput12-hour shiftwater120 mLjelly100 mLice chips100 mLIV infusion80 mL/h × 12 hIV antibiotic2 × 50 mLurine475 mLurine325 mLurine500 mLurine425 mLwound drain50 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). Count ice chips as half their volume.

water: 120 mLjelly: 100 mLice chips: 100 mLIV infusion: 80 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 475 mLurine: 325 mLurine: 500 mLurine: 425 mLwound drain: 50 mL
B = mL
5.Hard
1000 mL100 mL/hstart 12:3013:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 12:30 and runs by pump at 100 mL/h. How many mL V are left in the bag at 13:30?

1000 mL100 mL/h12:30 → 13:30
V = mL
6.Hard
500 mL50 mL/hstart 13:1514:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 13:15 and runs by pump at 50 mL/h. How many mL V are left in the bag at 14:15?

500 mL50 mL/h13:15 → 14:15
V = mL

Answer key

  1. 1. R = 60 mL/h
  2. 2. R = 75 mL/h
  3. 3. I = 1740 mL
  4. 4. B = −445 mL
  5. 5. V = 900 mL
  6. 6. V = 450 mL

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