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182077 Anaesthesia

A 29-year-old woman on oral contraceptives presents with abdominal pain. A computed tomography (CT) scan of the abdomen demonstrates a large hematoma of the right liver with the suggestion of an underlying liver lesion. Her hemoglobin is 6, and she is transfused 2 units of packed red blood cells and 2 units of fresh frozen plasma. Two hours after staing the transfusion, she develops respiratory distress and requires intubation. She is not volume overloaded clinically, but her chest x-ray shows bilateral pulmonary infiltrates. Which of the following is the management strategy of choice?

AContinue the transfusion and administer an antihistamine
BStop the transfusion and administer a diuretic
CStop the transfusion, perform bronchoscopy, and sta broad-spectrum empiric antibiotics
DStop the transfusion and continue suppoive respiratory care
Anaesthesia
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