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/day32 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 32 kg.

32 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h77 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 77 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.

77 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftjelly100 mLwater240 mLice chips100 mLIV infusion50 mL/h × 12 hIV antibiotic1 × 100 mLurine175 mLurine425 mLurine275 mLurine500 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.

jelly: 100 mLwater: 240 mLice chips: 100 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftmilk100 mLwater250 mLIV infusion80 mL/h × 12 hIV antibiotic1 × 100 mLurine425 mLurine300 mLwound drain70 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.

milk: 100 mLwater: 250 mLIV infusion: 80 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
5.Hard
1000 mL150 mL/hstart 10:4511:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 10:45 and runs by pump at 150 mL/h. How many mL V are left in the bag at 11:45?

1000 mL150 mL/h10:45 → 11:45
V = mL
6.Hard
500 mL200 mL infused125 mL/h10:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 125 mL/h. At 10:00, 200 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL200 mL infused125 mL/h
t = h

Answer key

  1. 1. V = 1740 mL/day
  2. 2. R = 75 mL/h
  3. 3. I = 1090 mL
  4. 4. I = 1410 mL
  5. 5. V = 850 mL
  6. 6. t = 2.4 h

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