27th February 2024

A 32 year old pregnant woman is seen in A&E following a week of severe pleuritic chest pain, and shortness of breath.

A 32 year old pregnant woman is seen in A&E following a week of severe pleuritic chest pain, and shortness of breath. On examination she is pyrexial with Temp 38, BP 115/90, HR 110, O2 sats 93% on RA and RR 28. She is not on any regular medications but reports a penicillin allergy.

A chest X-ray is obtained:

A blood test result shows Hb 10.4, WCC 12.9 x 10ꝰ/L, Urea 6 mmol/L, Na 143 mmol/L, K 6 mmol/L

Select the single, most appropriate management option.