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 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 44 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.

44 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h56 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 56 kg.

56 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftwater150 mLtea240 mLice chips200 mLIV infusion80 mL/h × 8 hIV antibiotic2 × 50 mLurine275 mLurine375 mLwound drain80 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.

water: 150 mLtea: 240 mLice chips: 200 mLIV infusion: 80 mL/h × 8 hIV antibiotic: 2 × 50 mLurine: 275 mLurine: 375 mLwound drain: 80 mL
B = mL
4.Medium
IntakeOutput8-hour shiftjuice120 mLjelly100 mLtea200 mLice chips200 mLIV infusion80 mL/h × 8 hIV antibiotic1 × 100 mLurine475 mLurine200 mLurine300 mLurine500 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.

juice: 120 mLjelly: 100 mLtea: 200 mLice chips: 200 mLIV infusion: 80 mL/h × 8 hIV antibiotic: 1 × 100 mL
I = mL
5.Hard
1000 mL120 mL/hstart 12:3015:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 12:30 and runs by pump at 120 mL/h. How many mL V are left in the bag at 15:00?

1000 mL120 mL/h12:30 → 15:00
V = mL
6.Hard
1000 mL250 mL infused150 mL/h11:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 150 mL/h. At 11:30, 250 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL250 mL infused150 mL/h
t = h

Answer key

  1. 1. R = 60 mL/h
  2. 2. R = 96 mL/h
  3. 3. B = 500 mL
  4. 4. I = 1260 mL
  5. 5. V = 700 mL
  6. 6. t = 5 h

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