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/h33 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 33 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.

33 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.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
3.Medium
IntakeOutput8-hour shiftjelly100 mLmilk200 mLwater200 mLIV infusion60 mL/h × 8 hIV antibiotic1 × 100 mLurine250 mLurine425 mLurine325 mLwound drain60 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 100 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

100 kg8 hurine: 250 mLurine: 425 mLurine: 325 mLwound drain: 60 mL
U = mL/kg/h
4.Medium
IntakeOutput12-hour shiftjelly100 mLmilk200 mLwater350 mLice chips100 mLIV infusion80 mL/h × 12 hIV antibiotic1 × 50 mLurine500 mLurine400 mLurine250 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 patient weighs 88 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

88 kg12 hurine: 500 mLurine: 400 mLurine: 250 mLwound drain: 70 mL
U = mL/kg/h
5.Hard
500 mL300 mL infused125 mL/h13:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 125 mL/h. At 13:00, 300 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL300 mL infused125 mL/h
t = h
6.Hard
500 mL→ 150 mL/hstart 08:30ttotal​ = ? h125 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 08:30 at 125 mL/h. After 3 hours the rate is changed to 150 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 · 3 h150 mL/h
t = h

Answer key

  1. 1. R = 50 mL/h
  2. 2. R = 65 mL/h
  3. 3. U = 1.25 mL/kg/h
  4. 4. U = 1.09 mL/kg/h
  5. 5. t = 1.6 h
  6. 6. t = 3.8 h

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