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/h88 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 88 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.

88 lb1 kg = 2.2 lb4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day41 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 100-50-20 method to find the daily maintenance fluid volume V in mL/day for a child who weighs 41 kg.

41 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shiftsoup250 mLmilk200 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 100 mLurine400 mLurine325 mLurine275 mLurine375 mLvomit200 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 73 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

73 kg8 hurine: 400 mLurine: 325 mLurine: 275 mLurine: 375 mLvomit: 200 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftmilk100 mLtea150 mLjelly120 mLIV infusion100 mL/h × 8 hIV antibiotic1 × 100 mLurine350 mLurine350 mLwound drain80 mLvomit100 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).

milk: 100 mLtea: 150 mLjelly: 120 mLIV infusion: 100 mL/h × 8 hIV antibiotic: 1 × 100 mLurine: 350 mLurine: 350 mLwound drain: 80 mLvomit: 100 mL
B = mL
5.Hard
1000 mL300 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, 300 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL300 mL infused60 mL/h
t = h
6.Hard
500 mL300 mL infused120 mL/h08:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 120 mL/h. At 08:00, 300 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL300 mL infused120 mL/h
t = h

Answer key

  1. 1. R = 80 mL/h
  2. 2. V = 1920 mL/day
  3. 3. U = 2.35 mL/kg/h
  4. 4. B = 390 mL
  5. 5. t = 11.7 h
  6. 6. t = 1.7 h

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