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/h30 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 30 kg.

30 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day10 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 10 kg.

10 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shiftwater240 mLjuice100 mLice chips120 mLIV infusion80 mL/h × 8 hIV antibiotic1 × 100 mLurine500 mLurine375 mLwound drain140 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 55 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

55 kg8 hurine: 500 mLurine: 375 mLwound drain: 140 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shiftjuice150 mLsoup200 mLwater300 mLIV infusion60 mL/h × 12 hIV antibiotic1 × 50 mLurine375 mLurine275 mLurine500 mLvomit100 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: 150 mLsoup: 200 mLwater: 300 mLIV infusion: 60 mL/h × 12 hIV antibiotic: 1 × 50 mL
I = mL
5.Hard
500 mL→ 200 mL/hstart 19:00ttotal​ = ? h125 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 19:00 at 125 mL/h. After 2 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.

500 mL125 mL/h · 2 h200 mL/h
t = h
6.Hard
500 mL60 mL/hstart 07:3008:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 07:30 and runs by pump at 60 mL/h. How many mL V are left in the bag at 08:30?

500 mL60 mL/h07:30 → 08:30
V = mL

Answer key

  1. 1. R = 70 mL/h
  2. 2. V = 1000 mL/day
  3. 3. U = 1.99 mL/kg/h
  4. 4. I = 1420 mL
  5. 5. t = 3.3 h
  6. 6. V = 440 mL

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