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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

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
maintenance100-50-20? mL/day4 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 4 kg.

4 kg100-50-20
V = mL/day
3.Medium
IntakeOutput8-hour shifttea240 mLsoup250 mLice chips240 mLIV infusion75 mL/h × 8 hIV antibiotic1 × 50 mLurine475 mLurine500 mLwound drain150 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 fluid balance B = intake − output in mL (a negative answer means a net loss). Count ice chips as half their volume.

tea: 240 mLsoup: 250 mLice chips: 240 mLIV infusion: 75 mL/h × 8 hIV antibiotic: 1 × 50 mLurine: 475 mLurine: 500 mLwound drain: 150 mLvomit: 250 mL
B = mL
4.Medium
IntakeOutput8-hour shiftmilk240 mLjelly100 mLice chips200 mLIV infusion50 mL/h × 8 hIV antibiotic1 × 50 mLurine375 mLurine300 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 patient weighs 106 kg. Find the average urine output U in mL/kg/h. Round to two decimal places.

106 kg8 hurine: 375 mLurine: 300 mLwound drain: 60 mL
U = mL/kg/h
5.Hard
1000 mL→ 75 mL/hstart 06:30ttotal​ = ? h150 mL/h × 4 h

Practice exercise (made-up values, not clinical guidance). A 1000 mL infusion starts at 06:30 at 150 mL/h. After 4 hours the rate is changed to 75 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 h75 mL/h
t = h
6.Hard
500 mL→ 60 mL/hstart 13:30ttotal​ = ? h120 mL/h × 2 h

Practice exercise (made-up values, not clinical guidance). A 500 mL infusion starts at 13:30 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.

500 mL120 mL/h · 2 h60 mL/h
t = h

Answer key

  1. 1. R = 80 mL/h
  2. 2. V = 400 mL/day
  3. 3. B = −115 mL
  4. 4. U = 0.8 mL/kg/h
  5. 5. t = 9.3 h
  6. 6. t = 6.3 h

Full step-by-step solutions: practise this topic on examproblems.com.