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/h8 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 8 kg.

8 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
IntakeOutput12-hour shiftjelly120 mLmilk240 mLjuice150 mLice chips200 mLIV infusion125 mL/h × 12 hIV antibiotic1 × 50 mLurine400 mLurine475 mLwound drain80 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). Count ice chips as half their volume.

jelly: 120 mLmilk: 240 mLjuice: 150 mLice chips: 200 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 1 × 50 mLurine: 400 mLurine: 475 mLwound drain: 80 mLvomit: 250 mL
B = mL
4.Medium
IntakeOutput8-hour shiftmilk100 mLtea240 mLsoup250 mLice chips120 mLIV infusion75 mL/h × 8 hIV antibiotic1 × 100 mLurine475 mLurine275 mLwound drain60 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: 100 mLtea: 240 mLsoup: 250 mLice chips: 120 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 1 × 100 mLurine: 475 mLurine: 275 mLwound drain: 60 mL
B = mL
5.Hard
1000 mL50 mL/hstart 14:0016:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 14:00 and runs by pump at 50 mL/h. How many mL V are left in the bag at 16:00?

1000 mL50 mL/h14:00 → 16:00
V = mL
6.Hard
1000 mL50 mL infused75 mL/h07:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 75 mL/h. At 07:00, 50 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL50 mL infused75 mL/h
t = h

Answer key

  1. 1. R = 32 mL/h
  2. 2. R = 50 mL/h
  3. 3. B = 955 mL
  4. 4. B = 540 mL
  5. 5. V = 900 mL
  6. 6. t = 12.7 h

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