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/h39 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 39 kg.

39 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h9 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 9 kg.

9 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftsoup180 mLwater150 mLice chips200 mLIV infusion75 mL/h × 12 hIV antibiotic2 × 50 mLurine150 mLurine250 mLurine425 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 74 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

74 kg12 hurine: 150 mLurine: 250 mLurine: 425 mLurine: 250 mLwound drain: 70 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftjuice120 mLjelly120 mLsoup180 mLice chips240 mLIV infusion60 mL/h × 8 hIV antibiotic1 × 50 mLurine275 mLurine250 mLurine275 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.

juice: 120 mLjelly: 120 mLsoup: 180 mLice chips: 240 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 1 × 50 mLurine: 275 mLurine: 250 mLurine: 275 mL
B = mL
5.Hard
1000 mL→ 50 mL/hstart 06:00ttotal​ = ? h100 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 06:00 at 100 mL/h. After 4 hours the rate is changed to 50 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 mL100 mL/h · 4 h50 mL/h
t = h
6.Hard
1000 mL125 mL/hstart 09:0011:00: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 09:00 and runs by pump at 125 mL/h. How many mL V are left in the bag at 11:00?

1000 mL125 mL/h09:00 → 11:00
V = mL

Answer key

  1. 1. R = 79 mL/h
  2. 2. R = 36 mL/h
  3. 3. U = 1.21 mL/kg/h
  4. 4. B = 270 mL
  5. 5. t = 16 h
  6. 6. V = 750 mL

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