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/h44 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 44 kg.

44 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h55 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 55 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.

55 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shifttea240 mLsoup250 mLice chips240 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 100 mLurine275 mLurine325 mLurine450 mLurine325 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. Count ice chips as half their volume.

tea: 240 mLsoup: 250 mLice chips: 240 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftsoup150 mLjelly120 mLjuice150 mLice chips120 mLIV infusion80 mL/h × 12 hIV antibiotic2 × 100 mLurine475 mLurine150 mLurine300 mLwound drain30 mLvomit150 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.

soup: 150 mLjelly: 120 mLjuice: 150 mLice chips: 120 mLIV infusion: 80 mL/h × 12 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
1000 mL→ 200 mL/hstart 08:30ttotal​ = ? h120 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 08:30 at 120 mL/h. After 4 hours the rate is changed to 200 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 mL120 mL/h · 4 h200 mL/h
t = h
6.Hard
1000 mL→ 125 mL/hstart 07:00ttotal​ = ? h80 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 07:00 at 80 mL/h. After 3 hours the rate is changed to 125 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 · 3 h125 mL/h
t = h

Answer key

  1. 1. R = 84 mL/h
  2. 2. R = 65 mL/h
  3. 3. I = 1410 mL
  4. 4. I = 1640 mL
  5. 5. t = 6.6 h
  6. 6. t = 9.1 h

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