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/day43 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 43 kg.

43 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h5 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 5 kg.

5 kg4-2-1
R = mL/h
3.Medium
IntakeOutput8-hour shiftsoup180 mLjuice150 mLice chips120 mLIV infusion75 mL/h × 8 hIV antibiotic2 × 50 mLurine475 mLurine375 mLurine350 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 patient weighs 79 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

79 kg8 hurine: 475 mLurine: 375 mLurine: 350 mLvomit: 100 mL
U = mL/kg/h
4.Medium
IntakeOutput8-hour shiftmilk240 mLjelly120 mLjuice150 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 50 mLurine150 mLurine325 mLurine425 mLwound drain130 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 IV infusion ran at the rate shown for the whole shift. Find the total intake I in mL.

milk: 240 mLjelly: 120 mLjuice: 150 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 50 mL
I = mL
5.Hard
1000 mL50 mL infused60 mL/h17:30t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 60 mL/h. At 17:30, 50 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL50 mL infused60 mL/h
t = h
6.Hard
1000 mL→ 100 mL/hstart 17:00ttotal​ = ? h150 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 17:00 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. V = 1960 mL/day
  2. 2. R = 20 mL/h
  3. 3. U = 1.9 mL/kg/h
  4. 4. I = 1090 mL
  5. 5. t = 15.8 h
  6. 6. t = 8 h

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