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/h34 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 34 kg.

34 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h66 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 66 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.

66 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftjelly100 mLjuice200 mLIV infusion80 mL/h × 8 hIV antibiotic1 × 50 mLurine500 mLurine300 mLurine375 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 102 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

102 kg8 hurine: 500 mLurine: 300 mLurine: 375 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftjuice200 mLwater240 mLice chips200 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 50 mLurine325 mLurine425 mLurine500 mLurine175 mLwound drain70 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.

juice: 200 mLwater: 240 mLice chips: 200 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 2 × 50 mLurine: 325 mLurine: 425 mLurine: 500 mLurine: 175 mLwound drain: 70 mL
B = mL
5.Hard
500 mL→ 80 mL/hstart 12:00ttotal​ = ? h120 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 12:00 at 120 mL/h. After 3 hours the rate is changed to 80 mL/h and is not changed again. How many hours t after the start will the bag be empty? Round to one decimal place.

500 mL120 mL/h · 3 h80 mL/h
t = h
6.Hard
1000 mL120 mL/hstart 06:0011:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 06:00 and runs by pump at 120 mL/h. How many mL V are left in the bag at 11:00?

1000 mL120 mL/h06:00 → 11:00
V = mL

Answer key

  1. 1. R = 74 mL/h
  2. 2. R = 70 mL/h
  3. 3. U = 1.44 mL/kg/h
  4. 4. B = −255 mL
  5. 5. t = 4.8 h
  6. 6. V = 400 mL

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