Practice question

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A 68-year-old man with known COPD presents with a 3-day history of increased cough, sputum purulence, and worsening dyspnoea. He is not currently on long-term oxygen therapy. On examination, his respiratory rate is 24/min, oxygen saturation is 89% on air, and he has bilateral wheeze. What is the most appropriate immediate management for his exacerbation?

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