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Respiratory — Chronic obstructive pulmonary disease

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Case 1 of 6RespiratoryChronic obstructive pulmonary disease

A 68-year-old man with GOLD stage 3 COPD presents with worsening dyspnea and purulent sputum. He is already on tiotropium and fluticasone/salmeterol. His oxygen saturation is 90% on room air. After nebulized bronchodilators, you plan outpatient management.

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Which of the following is the most appropriate next step?

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