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EasyRespiratoryCOPD exacerbationca-mccqe1ca-ccfpca-rcpsc-em

A 67-year-old man with chronic bronchitis presents with increased sputum purulence, dyspnoea and sputum volume. He has an FEV1 of 45% predicted and usually uses a LAMA inhaler. According to COPD exacerbation management recommendations, what is the most appropriate treatment addition?

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