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ModerateRespiratoryAcute exacerbation of COPDuk-plab-1

A 63-year-old woman with known COPD is admitted with increased breathlessness, purulent sputum, and wheeze. She is using Salbutamol and Tiotropium inhalers. She has no signs of pneumonia on chest X-ray. According to NICE COPD guidance, which additional treatment should be started for this acute exacerbation?

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