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/day29 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 29 kg.

29 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h88 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 88 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.

88 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftsoup150 mLmilk200 mLice chips200 mLIV infusion125 mL/h × 8 hIV antibiotic1 × 100 mLurine475 mLurine150 mLvomit100 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 fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

soup: 150 mLmilk: 200 mLice chips: 200 mLIV infusion: 125 mL/h × 8 hIV antibiotic: 1 × 100 mLurine: 475 mLurine: 150 mLvomit: 100 mL
B = mL
4.Medium
IntakeOutput12-hour shiftwater120 mLjuice100 mLtea150 mLIV infusion125 mL/h × 12 hIV antibiotic1 × 100 mLurine475 mLurine300 mLurine150 mLvomit250 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.

water: 120 mLjuice: 100 mLtea: 150 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
5.Hard
1000 mL→ 60 mL/hstart 18:30ttotal​ = ? h150 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 18:30 at 150 mL/h. After 2 hours the rate is changed to 60 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 mL150 mL/h · 2 h60 mL/h
t = h
6.Hard
500 mL50 mL infused75 mL/h21:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 75 mL/h. At 21:00, 50 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL50 mL infused75 mL/h
t = h

Answer key

  1. 1. V = 1680 mL/day
  2. 2. R = 80 mL/h
  3. 3. B = 825 mL
  4. 4. I = 1970 mL
  5. 5. t = 13.7 h
  6. 6. t = 6 h

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