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/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
3.Medium
IntakeOutput8-hour shiftsoup250 mLmilk100 mLjuice200 mLice chips120 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 100 mLurine175 mLurine175 mLwound drain130 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.

soup: 250 mLmilk: 100 mLjuice: 200 mLice chips: 120 mLIV infusion: 50 mL/h × 8 hIV antibiotic: 2 × 100 mLurine: 175 mLurine: 175 mLwound drain: 130 mL
B = mL
4.Medium
IntakeOutput12-hour shiftjelly100 mLjuice200 mLtea240 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 50 mLurine175 mLurine475 mLurine325 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: 100 mLjuice: 200 mLtea: 240 mLIV infusion: 100 mL/h × 12 hIV antibiotic: 2 × 50 mLurine: 175 mLurine: 475 mLurine: 325 mL
B = mL
5.Hard
1000 mL60 mL/hstart 11:3015:30: ? mL

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag was started at 11:30 and runs by pump at 60 mL/h. How many mL V are left in the bag at 15:30?

1000 mL60 mL/h11:30 → 15:30
V = mL
6.Hard
500 mL60 mL/hstart 06:1513:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 06:15 and runs by pump at 60 mL/h. How many mL V are left in the bag at 13:15?

500 mL60 mL/h06:15 → 13:15
V = mL

Answer key

  1. 1. R = 65 mL/h
  2. 2. R = 92 mL/h
  3. 3. B = 730 mL
  4. 4. B = 865 mL
  5. 5. V = 760 mL
  6. 6. V = 80 mL

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