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/h59 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 59 kg.

59 kg4-2-1
R = mL/h
2.Easy
maintenance100-50-20? mL/day6 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 6 kg.

6 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shiftwater240 mLtea150 mLIV infusion50 mL/h × 8 hIV antibiotic2 × 100 mLurine325 mLurine275 mLurine200 mLvomit250 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.

water: 240 mLtea: 150 mLIV infusion: 50 mL/h × 8 hIV antibiotic: 2 × 100 mL
I = mL
4.Medium
IntakeOutput8-hour shifttea240 mLsoup180 mLwater300 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 100 mLurine425 mLurine175 mLurine250 mLurine475 mLvomit250 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 65 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

65 kg8 hurine: 425 mLurine: 175 mLurine: 250 mLurine: 475 mLvomit: 250 mL
U = mL/kg/h
5.Hard
1000 mL→ 100 mL/hstart 19:30ttotal​ = ? h120 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 19:30 at 120 mL/h. After 2 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 mL120 mL/h · 2 h100 mL/h
t = h
6.Hard
1000 mL150 mL infused80 mL/h15:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 80 mL/h. At 15:00, 150 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL150 mL infused80 mL/h
t = h

Answer key

  1. 1. R = 99 mL/h
  2. 2. V = 600 mL/day
  3. 3. I = 990 mL
  4. 4. U = 2.55 mL/kg/h
  5. 5. t = 9.6 h
  6. 6. t = 10.6 h

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