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/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
2.Easy
maintenance4-2-1? mL/h33 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 33 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.

33 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftmilk240 mLwater350 mLice chips200 mLIV infusion125 mL/h × 8 hIV antibiotic2 × 100 mLurine325 mLurine450 mLwound drain150 mLvomit250 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 83 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

83 kg8 hurine: 325 mLurine: 450 mLwound drain: 150 mLvomit: 250 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shifttea200 mLjelly120 mLice chips240 mLIV infusion125 mL/h × 12 hIV antibiotic1 × 100 mLurine500 mLurine225 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 patient weighs 109 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

109 kg12 hurine: 500 mLurine: 225 mLvomit: 250 mL
U = mL/kg/h
5.Hard
500 mL60 mL/hstart 13:0020:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 13:00 and runs by pump at 60 mL/h. How many mL V are left in the bag at 20:30?

500 mL60 mL/h13:00 → 20:30
V = mL
6.Hard
1000 mL125 mL/hstart 10:4517:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 10:45 and runs by pump at 125 mL/h. How many mL V are left in the bag at 17:45?

1000 mL125 mL/h10:45 → 17:45
V = mL

Answer key

  1. 1. R = 28 mL/h
  2. 2. R = 50 mL/h
  3. 3. U = 1.17 mL/kg/h
  4. 4. U = 0.55 mL/kg/h
  5. 5. V = 50 mL
  6. 6. V = 125 mL

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