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/h77 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 77 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.

77 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day38 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 38 kg.

38 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shiftwater240 mLjuice200 mLjelly120 mLIV infusion75 mL/h × 8 hIV antibiotic1 × 100 mLurine325 mLurine300 mLvomit100 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.

water: 240 mLjuice: 200 mLjelly: 120 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput8-hour shiftmilk100 mLsoup200 mLjelly100 mLice chips200 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 50 mLurine350 mLurine225 mLvomit200 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 87 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

87 kg8 hurine: 350 mLurine: 225 mLvomit: 200 mL
U = mL/kg/h
5.Hard
1000 mL100 mL/hstart 10:4514:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 10:45 and runs by pump at 100 mL/h. How many mL V are left in the bag at 14:45?

1000 mL100 mL/h10:45 → 14:45
V = mL
6.Hard
1000 mL450 mL infused120 mL/h20:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 120 mL/h. At 20:00, 450 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL450 mL infused120 mL/h
t = h

Answer key

  1. 1. R = 75 mL/h
  2. 2. V = 1860 mL/day
  3. 3. I = 1260 mL
  4. 4. U = 0.83 mL/kg/h
  5. 5. V = 600 mL
  6. 6. t = 4.6 h

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