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/h46 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 46 kg.

46 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h11 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 11 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.

11 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftwater250 mLmilk240 mLjuice100 mLice chips240 mLIV infusion80 mL/h × 12 hIV antibiotic2 × 50 mLurine200 mLurine275 mLurine225 mLwound drain80 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.

water: 250 mLmilk: 240 mLjuice: 100 mLice chips: 240 mLIV infusion: 80 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 200 mLurine: 275 mLurine: 225 mLwound drain: 80 mL
B = mL
4.Medium
IntakeOutput12-hour shiftjelly120 mLjuice120 mLIV infusion50 mL/h × 12 hIV antibiotic2 × 100 mLurine475 mLurine150 mLurine500 mLurine500 mLwound drain90 mLvomit200 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).

jelly: 120 mLjuice: 120 mLIV infusion: 50 mL/h × 12 hIV antibiotic: 2 × 100 mLurine: 475 mLurine: 150 mLurine: 500 mLurine: 500 mLwound drain: 90 mLvomit: 200 mL
B = mL
5.Hard
500 mL75 mL/hstart 07:4510:45: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 07:45 and runs by pump at 75 mL/h. How many mL V are left in the bag at 10:45?

500 mL75 mL/h07:45 → 10:45
V = mL
6.Hard
1000 mL700 mL infused60 mL/h06:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 60 mL/h. At 06:30, 700 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL700 mL infused60 mL/h
t = h

Answer key

  1. 1. R = 86 mL/h
  2. 2. R = 20 mL/h
  3. 3. B = 990 mL
  4. 4. B = −875 mL
  5. 5. V = 275 mL
  6. 6. t = 5 h

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