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ModerateRespiratoryCOPD exacerbationuk-plab-1

A 72-year-old man with known COPD (FEV1 40% predicted) presents with increasing dyspnoea, productive green sputum and wheeze over 3 days. He is afebrile, SpO2 is 90% on air, and chest X-ray shows hyperinflated lungs without consolidation. What is the most appropriate initial management in primary care?

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