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/h26 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 26 kg.

26 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h13 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 13 kg.

13 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftsoup200 mLwater120 mLIV infusion50 mL/h × 12 hIV antibiotic2 × 50 mLurine450 mLurine250 mLwound drain40 mLvomit250 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).

soup: 200 mLwater: 120 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 450 mLurine: 250 mLwound drain: 40 mLvomit: 250 mL
B = mL
4.Medium
IntakeOutput12-hour shiftmilk200 mLsoup150 mLwater250 mLIV infusion125 mL/h × 12 hIV antibiotic2 × 100 mLurine225 mLurine150 mLurine375 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 patient weighs 60 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

60 kg12 hurine: 225 mLurine: 150 mLurine: 375 mLwound drain: 50 mL
U = mL/kg/h
5.Hard
500 mL100 mL infused60 mL/h21:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 60 mL/h. At 21:30, 100 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL100 mL infused60 mL/h
t = h
6.Hard
1000 mL150 mL infused150 mL/h14:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 150 mL/h. At 14:30, 150 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL150 mL infused150 mL/h
t = h

Answer key

  1. 1. R = 66 mL/h
  2. 2. R = 46 mL/h
  3. 3. B = 30 mL
  4. 4. U = 1.04 mL/kg/h
  5. 5. t = 6.7 h
  6. 6. t = 5.7 h

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