You are asked to admit a 48-year-old woman for the management of respiratory failure, who received an allogeneic bone marrow transplant 2 weeks ago for acute myeloid leukaemia. A Chest X-Ray demonstrates a diffuse pulmonary infiltrate.
- GCS 14
- Temp 38.4 ºC
- PR 140 /min, BP 90/40mm Hg
- RR 35, SaO²
- 88% on 10 lpm O²
The full blood count report from yesterday is at the bedside.
- Hb 68 g/L
- WCC 0.2 No differential
- Plt 39
Comment - Occasional tear drops, Occasional elliptocytes, Occasional lymphocyte and
a) List your differential diagnosis for the respiratory failure
b) List your immediate management priorities (i.e. within the first two hours) of the patient on admission to ICU