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/h22 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 22 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.

22 lb1 kg = 2.2 lb4-2-1
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 shiftwater250 mLjuice120 mLtea200 mLice chips200 mLIV infusion125 mL/h × 12 hIV antibiotic2 × 100 mLurine225 mLurine400 mLurine250 mLurine175 mLvomit250 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 total intake I in mL. Count ice chips as half their volume.

water: 250 mLjuice: 120 mLtea: 200 mLice chips: 200 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 2 × 100 mL
I = mL
4.Medium
IntakeOutput8-hour shiftsoup250 mLjuice120 mLIV infusion50 mL/h × 8 hIV antibiotic1 × 50 mLurine375 mLurine325 mLurine450 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.

soup: 250 mLjuice: 120 mLIV infusion: 50 mL/h × 8 hIV antibiotic: 1 × 50 mL
I = mL
5.Hard
1000 mL350 mL infused60 mL/h13:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 60 mL/h. At 13:30, 350 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL350 mL infused60 mL/h
t = h
6.Hard
1000 mL→ 125 mL/hstart 20:00ttotal​ = ? h100 mL/h × 3 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 20:00 at 100 mL/h. After 3 hours the rate is changed to 125 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 · 3 h125 mL/h
t = h

Answer key

  1. 1. R = 40 mL/h
  2. 2. R = 36 mL/h
  3. 3. I = 2370 mL
  4. 4. I = 820 mL
  5. 5. t = 10.8 h
  6. 6. t = 8.6 h

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