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
maintenance100-50-20? mL/day48 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 48 kg.

48 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h88 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 88 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.

88 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shifttea240 mLmilk240 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 100 mLurine350 mLurine400 mLwound drain110 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 51 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

51 kg8 hurine: 350 mLurine: 400 mLwound drain: 110 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftjelly120 mLtea150 mLmilk240 mLice chips240 mLIV infusion75 mL/h × 8 hIV antibiotic1 × 50 mLurine375 mLurine500 mLurine350 mLurine175 mLwound drain50 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.

jelly: 120 mLtea: 150 mLmilk: 240 mLice chips: 240 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 1 × 50 mL
I = mL
5.Hard
1000 mL75 mL/hstart 11:3016:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 11:30 and runs by pump at 75 mL/h. How many mL V are left in the bag at 16:30?

1000 mL75 mL/h11:30 → 16:30
V = mL
6.Hard
1000 mL100 mL/hstart 14:0020:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 14:00 and runs by pump at 100 mL/h. How many mL V are left in the bag at 20:30?

1000 mL100 mL/h14:00 → 20:30
V = mL

Answer key

  1. 1. V = 2060 mL/day
  2. 2. R = 80 mL/h
  3. 3. U = 1.84 mL/kg/h
  4. 4. I = 1280 mL
  5. 5. V = 625 mL
  6. 6. V = 350 mL

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