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
maintenance100-50-20? mL/day22 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 22 kg.

22 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h7 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 7 kg.

7 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftwater250 mLjuice120 mLsoup150 mLice chips120 mLIV infusion100 mL/h × 8 hIV antibiotic2 × 100 mLurine150 mLurine425 mLurine225 mLwound drain70 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. Count ice chips as half their volume.

water: 250 mLjuice: 120 mLsoup: 150 mLice chips: 120 mLIV infusion: 100 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
4.Medium
IntakeOutput12-hour shifttea200 mLjelly120 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 50 mLurine250 mLurine375 mLurine175 mLwound drain30 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 12-hour shift. The patient weighs 91 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

91 kg12 hurine: 250 mLurine: 375 mLurine: 175 mLwound drain: 30 mL
U = mL/kg/h
5.Hard
500 mL200 mL infused120 mL/h14:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 120 mL/h. At 14:00, 200 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL200 mL infused120 mL/h
t = h
6.Hard
1000 mL→ 200 mL/hstart 17:00ttotal​ = ? h125 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 17:00 at 125 mL/h. After 4 hours the rate is changed to 200 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 mL125 mL/h · 4 h200 mL/h
t = h

Answer key

  1. 1. V = 1540 mL/day
  2. 2. R = 28 mL/h
  3. 3. I = 1580 mL
  4. 4. U = 0.73 mL/kg/h
  5. 5. t = 2.5 h
  6. 6. t = 6.5 h

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