شاب عمره ٢٣ سنة في العناية بعد نزيف داخل البطينات، عنده قسطرة تصريف بطيني خارجي (EVD) مضبوطة على مستوى معين. يحتاج نقله على السرير لعمل أشعة مقطعية. قبل تحريكه، ما الإجراء الصحيح؟

A 23-year-old in ICU after intraventricular haemorrhage has an external ventricular drain set at a prescribed level. He needs to be moved on the bed for a CT scan. Before moving him, what is the correct action?

1. Hold the bag above the client’s head during transport
2. Disconnect the catheter from the bag, then reconnect it
3. Leave it open and put the bag on the floor
4. Clamp the drain temporarily per protocol, then re-level it

Answer: D) Clamp the drain temporarily per protocol, then re-level it. Moving with an open drain risks over-drainage or backflow. It is clamped per protocol, then re-levelled to the tragus and reopened.