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/h4 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 4 kg.

4 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h27 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 27 kg.

27 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shifttea150 mLmilk200 mLsoup250 mLice chips120 mLIV infusion75 mL/h × 8 hIV antibiotic1 × 50 mLurine500 mLurine375 mLurine225 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. Count ice chips as half their volume.

tea: 150 mLmilk: 200 mLsoup: 250 mLice chips: 120 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 1 × 50 mL
I = mL
4.Medium
IntakeOutput12-hour shiftjelly120 mLtea240 mLice chips240 mLIV infusion125 mL/h × 12 hIV antibiotic1 × 50 mLurine350 mLurine225 mLurine425 mLwound drain40 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.

jelly: 120 mLtea: 240 mLice chips: 240 mLIV infusion: 125 mL/h × 12 hIV antibiotic: 1 × 50 mLurine: 350 mLurine: 225 mLurine: 425 mLwound drain: 40 mL
B = mL
5.Hard
1000 mL→ 60 mL/hstart 16:30ttotal​ = ? h120 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 16:30 at 120 mL/h. After 2 hours the rate is changed to 60 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 mL120 mL/h · 2 h60 mL/h
t = h
6.Hard
500 mL150 mL infused80 mL/h18:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 500 mL bag runs by pump at 80 mL/h. At 18:00, 150 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

500 mL150 mL infused80 mL/h
t = h

Answer key

  1. 1. R = 16 mL/h
  2. 2. R = 67 mL/h
  3. 3. I = 1310 mL
  4. 4. B = 990 mL
  5. 5. t = 14.7 h
  6. 6. t = 4.4 h

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