Difficult Airway Management

A patient has suffered a cerebral stroke. She has been diagnosed and treated during your shift. She is in the stroke unit, where she is currently being monitored (SpO2, ECG, NIBP, HR, consciousness) and the thrombolytic therapy - alteplase - has been administered. The neurological status of the patient is improving. Now, 1 hour after the infusion of alteplase, the patient’s eyelids, lips and tongue have swollen. Lung auscultation: wheezing. Patient is experiencing dyspnoea. What complication has occured?
woman
RR
23 /min
HR
100 /min
SpO2
95 %
BP
140/80 (100) mmHg
EKG
rythm: sinus
action: regular
frequency: 101 bpm
Glycaemia
Gly
6,4  mmol/L
Arterial blood gas
pH
7,4
pCO2
37,5  torr
pO2
75  torr
BE
1  mmol/l
Complete blood count
HGB
140  g/L
ERC
5  x1012/L
LEU
8  x109/L
Biochemical analysis
Na
140  mmol/L
K
3,9  mmol/L
Cl
105  mmol/L
Ca
2,4  mmol/L
Glycaemia
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Arterial blood gas
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Complete blood count
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Biochemical analysis
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