رجل عمره ٥٤ سنة منوم بـ COVID-١٩، واعٍ ويتكلم، على أكسجين بالأنف ٥ لتر، وتشبعه ٩١٪، والتنفس ٢٤، وليس على جهاز تنفس، ويستطيع تغيير وضعيته بنفسه. أي إجراء قد يحسن أكسجته؟

A 54-year-old man admitted with COVID-19 is alert and talking on 5 L/min nasal oxygen with SpO2 91% and RR 24. He is not ventilated and can change position himself. Which measure may improve his oxygenation?

1. Giving a strong sedative to reduce oxygen use
2. Stopping the oxygen for an hour to train the lungs
3. Encouraging awake prone positioning for periods as tolerated
4. Keeping him supine all day so he can rest

Answer: C) Encouraging awake prone positioning for periods as tolerated. Awake proning in non-intubated clients may improve ventilation-perfusion matching and saturation, with continuous monitoring and escalation ready if he deteriorates.