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/h55 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 55 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.

55 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day6 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 6 kg.

6 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shiftwater240 mLsoup180 mLjelly120 mLice chips200 mLIV infusion125 mL/h × 8 hIV antibiotic2 × 100 mLurine175 mLurine500 mLwound drain150 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-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: 240 mLsoup: 180 mLjelly: 120 mLice chips: 200 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftjelly100 mLmilk200 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 50 mLurine375 mLurine150 mLurine350 mLurine325 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 fluid balance B = intake − output in mL (a negative answer means a net loss).

jelly: 100 mLmilk: 200 mLIV infusion: 60 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 375 mLurine: 150 mLurine: 350 mLurine: 325 mLvomit: 100 mL
B = mL
5.Hard
1000 mL50 mL infused80 mL/h12:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 80 mL/h. At 12:00, 50 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL50 mL infused80 mL/h
t = h
6.Hard
500 mL150 mL infused75 mL/h11:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 75 mL/h. At 11:00, 150 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL150 mL infused75 mL/h
t = h

Answer key

  1. 1. R = 65 mL/h
  2. 2. V = 600 mL/day
  3. 3. I = 1840 mL
  4. 4. B = −180 mL
  5. 5. t = 11.9 h
  6. 6. t = 4.7 h

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