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/h66 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 66 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.

66 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.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
3.Medium
IntakeOutput12-hour shiftsoup180 mLjuice200 mLice chips200 mLIV infusion75 mL/h × 12 hIV antibiotic1 × 100 mLurine425 mLurine475 mLurine150 mLurine200 mLwound drain110 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 51 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

51 kg12 hurine: 425 mLurine: 475 mLurine: 150 mLurine: 200 mLwound drain: 110 mLvomit: 100 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shiftwater150 mLjelly100 mLtea200 mLice chips120 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 100 mLurine275 mLurine175 mLurine325 mLurine275 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. Count ice chips as half their volume.

water: 150 mLjelly: 100 mLtea: 200 mLice chips: 120 mLIV infusion: 100 mL/h × 12 hIV antibiotic: 2 × 100 mL
I = mL
5.Hard
1000 mL→ 200 mL/hstart 11:30ttotal​ = ? h100 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 11:30 at 100 mL/h. After 3 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.

1000 mL100 mL/h · 3 h200 mL/h
t = h
6.Hard
1000 mL150 mL/hstart 14:0019:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 14:00 and runs by pump at 150 mL/h. How many mL V are left in the bag at 19:30?

1000 mL150 mL/h14:00 → 19:30
V = mL

Answer key

  1. 1. R = 70 mL/h
  2. 2. R = 20 mL/h
  3. 3. U = 2.04 mL/kg/h
  4. 4. I = 1910 mL
  5. 5. t = 6.5 h
  6. 6. V = 175 mL

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