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/h7 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 7 kg.

7 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h6 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 6 kg.

6 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftjuice120 mLwater350 mLIV infusion50 mL/h × 12 hIV antibiotic1 × 100 mLurine325 mLurine375 mLurine175 mLurine250 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.

juice: 120 mLwater: 350 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftmilk200 mLsoup200 mLice chips120 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 50 mLurine375 mLurine400 mLurine175 mLurine425 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: 200 mLsoup: 200 mLice chips: 120 mLIV infusion: 100 mL/h × 12 hIV antibiotic: 2 × 50 mL
I = mL
5.Hard
500 mL125 mL/hstart 13:1514:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 13:15 and runs by pump at 125 mL/h. How many mL V are left in the bag at 14:15?

500 mL125 mL/h13:15 → 14:15
V = mL
6.Hard
1000 mL→ 150 mL/hstart 11:30ttotal​ = ? h125 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 11:30 at 125 mL/h. After 3 hours the rate is changed to 150 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 mL125 mL/h · 3 h150 mL/h
t = h

Answer key

  1. 1. R = 28 mL/h
  2. 2. R = 24 mL/h
  3. 3. I = 1170 mL
  4. 4. I = 1760 mL
  5. 5. V = 375 mL
  6. 6. t = 7.2 h

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