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/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
2.Easy
maintenance4-2-1? mL/h42 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 42 kg.

42 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftjelly100 mLwater200 mLice chips200 mLIV infusion100 mL/h × 12 hIV antibiotic1 × 50 mLurine475 mLurine175 mLurine150 mLurine150 mLvomit250 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 fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

jelly: 100 mLwater: 200 mLice chips: 200 mLIV infusion: 100 mL/h × 12 hIV antibiotic: 1 × 50 mLurine: 475 mLurine: 175 mLurine: 150 mLurine: 150 mLvomit: 250 mL
B = mL
4.Medium
IntakeOutput12-hour shiftwater120 mLsoup180 mLtea150 mLIV infusion50 mL/h × 12 hIV antibiotic2 × 100 mLurine275 mLurine400 mLurine350 mLurine225 mLwound drain40 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.

water: 120 mLsoup: 180 mLtea: 150 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
1000 mL120 mL/hstart 12:0014:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 12:00 and runs by pump at 120 mL/h. How many mL V are left in the bag at 14:30?

1000 mL120 mL/h12:00 → 14:30
V = mL
6.Hard
500 mL→ 125 mL/hstart 13:30ttotal​ = ? h120 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 13:30 at 120 mL/h. After 2 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.

500 mL120 mL/h · 2 h125 mL/h
t = h

Answer key

  1. 1. R = 96 mL/h
  2. 2. R = 82 mL/h
  3. 3. B = 450 mL
  4. 4. I = 1250 mL
  5. 5. V = 700 mL
  6. 6. t = 4.1 h

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