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MediumRespiratoryAcute COPD exacerbation managementca-mccqe1ca-ccfpca-rcpsc-emca-rcpsc-im

A 72-year-old man with a history of COPD (FEV₁ 45% predicted) presents with acute worsening dyspnoea, increased sputum volume, and purulence over 3 days. He is mildly tachypnoeic with oxygen saturation 90% on room air, and chest radiograph shows no new infiltrate. According to Canadian Thoracic Society COPD guidelines, what treatment should be added to his short-acting bronchodilators?

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