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/h11 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 11 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.

11 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day46 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 46 kg.

46 kg100-50-20
V = mL/day
3.Medium
IntakeOutput12-hour shifttea240 mLjelly100 mLIV infusion50 mL/h × 12 hIV antibiotic2 × 100 mLurine225 mLurine375 mLwound drain100 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 patient weighs 90 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

90 kg12 hurine: 225 mLurine: 375 mLwound drain: 100 mLvomit: 100 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftmilk240 mLwater120 mLIV infusion60 mL/h × 8 hIV antibiotic1 × 100 mLurine350 mLurine200 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 patient weighs 86 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

86 kg8 hurine: 350 mLurine: 200 mLwound drain: 50 mL
U = mL/kg/h
5.Hard
1000 mL400 mL infused80 mL/h17:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 80 mL/h. At 17:30, 400 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL400 mL infused80 mL/h
t = h
6.Hard
1000 mL550 mL infused150 mL/h18:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 150 mL/h. At 18:30, 550 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL550 mL infused150 mL/h
t = h

Answer key

  1. 1. R = 20 mL/h
  2. 2. V = 2020 mL/day
  3. 3. U = 0.56 mL/kg/h
  4. 4. U = 0.8 mL/kg/h
  5. 5. t = 7.5 h
  6. 6. t = 3 h

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