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
maintenance4-2-1? mL/h60 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 60 kg.

60 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftsoup200 mLtea150 mLmilk200 mLice chips240 mLIV infusion100 mL/h × 8 hIV antibiotic1 × 100 mLurine175 mLurine300 mLurine500 mLurine150 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.

soup: 200 mLtea: 150 mLmilk: 200 mLice chips: 240 mLIV infusion: 100 mL/h × 8 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shiftmilk200 mLsoup150 mLice chips200 mLIV infusion125 mL/h × 12 hIV antibiotic2 × 50 mLurine225 mLurine475 mLurine350 mLurine175 mLvomit150 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). Count ice chips as half their volume.

milk: 200 mLsoup: 150 mLice chips: 200 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 225 mLurine: 475 mLurine: 350 mLurine: 175 mLvomit: 150 mL
B = mL
5.Hard
500 mL→ 60 mL/hstart 19:30ttotal​ = ? h125 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 19:30 at 125 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.

500 mL125 mL/h · 2 h60 mL/h
t = h
6.Hard
1000 mL400 mL infused150 mL/h11:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 150 mL/h. At 11:30, 400 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL400 mL infused150 mL/h
t = h

Answer key

  1. 1. R = 65 mL/h
  2. 2. R = 100 mL/h
  3. 3. I = 1570 mL
  4. 4. B = 675 mL
  5. 5. t = 6.2 h
  6. 6. t = 4 h

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