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/h47 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 47 kg.

47 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day11 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 11 kg.

11 kg100-50-20
V = mL/day
3.Medium
IntakeOutput12-hour shiftmilk100 mLjuice200 mLsoup150 mLIV infusion75 mL/h × 12 hIV antibiotic1 × 100 mLurine500 mLurine225 mLurine375 mLurine425 mLwound drain130 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 total intake I in mL.

milk: 100 mLjuice: 200 mLsoup: 150 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput8-hour shiftwater350 mLtea200 mLIV infusion60 mL/h × 8 hIV antibiotic1 × 100 mLurine150 mLurine150 mLwound drain30 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 92 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

92 kg8 hurine: 150 mLurine: 150 mLwound drain: 30 mL
U = mL/kg/h
5.Hard
500 mL60 mL/hstart 06:0008:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 06:00 and runs by pump at 60 mL/h. How many mL V are left in the bag at 08:00?

500 mL60 mL/h06:00 → 08:00
V = mL
6.Hard
500 mL120 mL/hstart 11:4513:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 11:45 and runs by pump at 120 mL/h. How many mL V are left in the bag at 13:45?

500 mL120 mL/h11:45 → 13:45
V = mL

Answer key

  1. 1. R = 87 mL/h
  2. 2. V = 1050 mL/day
  3. 3. I = 1450 mL
  4. 4. U = 0.41 mL/kg/h
  5. 5. V = 380 mL
  6. 6. V = 260 mL

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