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MediumRespiratory MedicineCOPD Exacerbationukmlamrcgp aktpanemrcp part 1prescribing safety assessment

A 66-year-old woman with known stable COPD (FEV1 60% predicted) presents with a 3-day history of increased shortness of breath, increased sputum volume, and sputum purulence. She is afebrile, respiratory rate is 22/min, and oxygen saturation is 91% on air (her baseline is 93%). She does not meet criteria for hospital admission. According to NICE NG114 guidelines, what is the most appropriate initial management?

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