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/day4 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 4 kg.

4 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h7 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 7 kg.

7 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftwater150 mLtea200 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 50 mLurine325 mLurine250 mLwound drain150 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 total intake I in mL.

water: 150 mLtea: 200 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 50 mL
I = mL
4.Medium
IntakeOutput8-hour shiftmilk240 mLtea200 mLjelly100 mLice chips200 mLIV infusion80 mL/h × 8 hIV antibiotic2 × 100 mLurine300 mLurine325 mLurine300 mLwound drain120 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.

milk: 240 mLtea: 200 mLjelly: 100 mLice chips: 200 mLIV infusion: 80 mL/h × 8 hIV antibiotic: 2 × 100 mLurine: 300 mLurine: 325 mLurine: 300 mLwound drain: 120 mL
B = mL
5.Hard
1000 mL100 mL/hstart 10:4512:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 10:45 and runs by pump at 100 mL/h. How many mL V are left in the bag at 12:15?

1000 mL100 mL/h10:45 → 12:15
V = mL
6.Hard
500 mL50 mL infused75 mL/h19:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 75 mL/h. At 19:30, 50 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL50 mL infused75 mL/h
t = h

Answer key

  1. 1. V = 400 mL/day
  2. 2. R = 28 mL/h
  3. 3. I = 930 mL
  4. 4. B = 435 mL
  5. 5. V = 850 mL
  6. 6. t = 6 h

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