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/h18 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 18 kg.

18 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftmilk100 mLjelly100 mLice chips100 mLIV infusion75 mL/h × 12 hIV antibiotic1 × 100 mLurine175 mLurine275 mLurine225 mLwound drain90 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. Count ice chips as half their volume.

milk: 100 mLjelly: 100 mLice chips: 100 mLIV infusion: 75 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftsoup200 mLmilk200 mLIV infusion125 mL/h × 12 hIV antibiotic2 × 100 mLurine500 mLurine275 mLurine375 mLurine300 mLwound drain50 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 63 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

63 kg12 hurine: 500 mLurine: 275 mLurine: 375 mLurine: 300 mLwound drain: 50 mL
U = mL/kg/h
5.Hard
1000 mL550 mL infused80 mL/h07:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 80 mL/h. At 07:30, 550 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL550 mL infused80 mL/h
t = h
6.Hard
1000 mL→ 75 mL/hstart 09:30ttotal​ = ? h80 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 09:30 at 80 mL/h. After 4 hours the rate is changed to 75 mL/h and is not changed again. How many hours t after the start will the bag be empty? Round to one decimal place.

1000 mL80 mL/h · 4 h75 mL/h
t = h

Answer key

  1. 1. R = 32 mL/h
  2. 2. R = 56 mL/h
  3. 3. I = 1250 mL
  4. 4. U = 1.92 mL/kg/h
  5. 5. t = 5.6 h
  6. 6. t = 13.1 h

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