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
maintenance4-2-1? mL/h50 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 50 kg.

50 kg4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shifttea200 mLjelly100 mLice chips200 mLIV infusion60 mL/h × 12 hIV antibiotic2 × 50 mLurine400 mLurine475 mLurine375 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.

tea: 200 mLjelly: 100 mLice chips: 200 mLIV infusion: 60 mL/h × 12 hIV antibiotic: 2 × 50 mL
I = mL
4.Medium
IntakeOutput12-hour shifttea200 mLsoup180 mLice chips200 mLIV infusion100 mL/h × 12 hIV antibiotic2 × 50 mLurine150 mLurine425 mLvomit100 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 64 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

64 kg12 hurine: 150 mLurine: 425 mLvomit: 100 mL
U = mL/kg/h
5.Hard
500 mL→ 150 mL/hstart 10:00ttotal​ = ? h120 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 10:00 at 120 mL/h. After 2 hours the rate is changed to 150 mL/h and is not changed again. How many hours t after the start will the bag be empty? Round to one decimal place.

500 mL120 mL/h · 2 h150 mL/h
t = h
6.Hard
1000 mL→ 100 mL/hstart 20:00ttotal​ = ? h150 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 20:00 at 150 mL/h. After 4 hours the rate is changed to 100 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 mL150 mL/h · 4 h100 mL/h
t = h

Answer key

  1. 1. R = 80 mL/h
  2. 2. R = 90 mL/h
  3. 3. I = 1220 mL
  4. 4. U = 0.75 mL/kg/h
  5. 5. t = 3.7 h
  6. 6. t = 8 h

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