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/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
2.Easy
maintenance100-50-20? mL/day25 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 25 kg.

25 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shiftjuice150 mLtea240 mLjelly120 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 100 mLurine475 mLurine200 mLurine450 mLurine150 mLwound drain40 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.

juice: 150 mLtea: 240 mLjelly: 120 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftmilk240 mLsoup180 mLice chips200 mLIV infusion50 mL/h × 12 hIV antibiotic2 × 50 mLurine450 mLurine325 mLwound drain40 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 87 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

87 kg12 hurine: 450 mLurine: 325 mLwound drain: 40 mL
U = mL/kg/h
5.Hard
500 mL75 mL/hstart 06:4510:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 06:45 and runs by pump at 75 mL/h. How many mL V are left in the bag at 10:45?

500 mL75 mL/h06:45 → 10:45
V = mL
6.Hard
500 mL200 mL infused100 mL/h09:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 100 mL/h. At 09:30, 200 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL200 mL infused100 mL/h
t = h

Answer key

  1. 1. R = 80 mL/h
  2. 2. V = 1600 mL/day
  3. 3. I = 1190 mL
  4. 4. U = 0.74 mL/kg/h
  5. 5. V = 200 mL
  6. 6. t = 3 h

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