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/day11 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 11 kg.

11 kg100-50-20
V = mL/day
2.Easy
maintenance4-2-1? mL/h33 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 33 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.

33 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftjuice200 mLjelly120 mLsoup250 mLIV infusion80 mL/h × 12 hIV antibiotic1 × 100 mLurine325 mLurine225 mLurine275 mLurine150 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.

juice: 200 mLjelly: 120 mLsoup: 250 mLIV infusion: 80 mL/h × 12 hIV antibiotic: 1 × 100 mL
I = mL
4.Medium
IntakeOutput8-hour shiftjuice200 mLjelly120 mLice chips100 mLIV infusion60 mL/h × 8 hIV antibiotic2 × 100 mLurine175 mLurine250 mLurine350 mLurine500 mLwound drain60 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 fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

juice: 200 mLjelly: 120 mLice chips: 100 mLIV infusion: 60 mL/h × 8 hIV antibiotic: 2 × 100 mLurine: 175 mLurine: 250 mLurine: 350 mLurine: 500 mLwound drain: 60 mL
B = mL
5.Hard
1000 mL350 mL infused150 mL/h13:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 150 mL/h. At 13:00, 350 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL350 mL infused150 mL/h
t = h
6.Hard
500 mL→ 150 mL/hstart 07:30ttotal​ = ? h80 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 07:30 at 80 mL/h. After 4 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 mL80 mL/h · 4 h150 mL/h
t = h

Answer key

  1. 1. V = 1050 mL/day
  2. 2. R = 50 mL/h
  3. 3. I = 1630 mL
  4. 4. B = −285 mL
  5. 5. t = 4.3 h
  6. 6. t = 5.2 h

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