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/h27 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 4-2-1 rule to find the hourly maintenance fluid rate R in mL/h for a child who weighs 27 kg.

27 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h18 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 4-2-1 rule to find the hourly maintenance fluid rate R in mL/h for a child who weighs 18 kg.

18 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shifttea200 mLsoup250 mLIV infusion80 mL/h × 8 hIV antibiotic2 × 50 mLurine225 mLurine400 mLurine500 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.

tea: 200 mLsoup: 250 mLIV infusion: 80 mL/h × 8 hIV antibiotic: 2 × 50 mL
I = mL
4.Medium
IntakeOutput8-hour shifttea150 mLsoup180 mLice chips240 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 100 mLurine275 mLurine425 mLurine500 mLwound drain60 mLvomit200 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.

tea: 150 mLsoup: 180 mLice chips: 240 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 100 mLurine: 275 mLurine: 425 mLurine: 500 mLwound drain: 60 mLvomit: 200 mL
B = mL
5.Hard
1000 mL80 mL/hstart 08:3013:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 08:30 and runs by pump at 80 mL/h. How many mL V are left in the bag at 13:00?

1000 mL80 mL/h08:30 → 13:00
V = mL
6.Hard
1000 mL100 mL/hstart 10:1516:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 10:15 and runs by pump at 100 mL/h. How many mL V are left in the bag at 16:45?

1000 mL100 mL/h10:15 → 16:45
V = mL

Answer key

  1. 1. R = 67 mL/h
  2. 2. R = 56 mL/h
  3. 3. I = 1190 mL
  4. 4. B = −330 mL
  5. 5. V = 640 mL
  6. 6. V = 350 mL

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