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/h52 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 52 kg.

52 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h44 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 44 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.

44 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftjelly100 mLmilk200 mLtea240 mLice chips200 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 50 mLurine375 mLurine475 mLurine475 mLurine500 mLwound drain90 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 108 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

108 kg8 hurine: 375 mLurine: 475 mLurine: 475 mLurine: 500 mLwound drain: 90 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftwater250 mLmilk200 mLIV infusion125 mL/h × 8 hIV antibiotic2 × 100 mLurine450 mLurine300 mLurine200 mLurine350 mLwound drain50 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 45 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

45 kg8 hurine: 450 mLurine: 300 mLurine: 200 mLurine: 350 mLwound drain: 50 mL
U = mL/kg/h
5.Hard
1000 mL80 mL/hstart 08:4514:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 08:45 and runs by pump at 80 mL/h. How many mL V are left in the bag at 14:15?

1000 mL80 mL/h08:45 → 14:15
V = mL
6.Hard
1000 mL→ 75 mL/hstart 08:30ttotal​ = ? h120 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 08:30 at 120 mL/h. After 3 hours the rate is changed to 75 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 mL120 mL/h · 3 h75 mL/h
t = h

Answer key

  1. 1. R = 92 mL/h
  2. 2. R = 60 mL/h
  3. 3. U = 2.11 mL/kg/h
  4. 4. U = 3.61 mL/kg/h
  5. 5. V = 560 mL
  6. 6. t = 11.5 h

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