Which is most likely to reduce subsequent exacerbations

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Problem

A 65-year-old man, who has had chronic obstructive pulmonary disease (COPD) for 3 years, presents to the emergency department because of increased cough with sputum and shortness of breath for the past 2 days. He has not had a fever. His regular medications include inhaled salmeterol and fluticasone propionate. He was a smoker for many years but quit 2 years ago. His temperature is 37.1 C (98.8'F), heart rate is 88/min, respiratory rate is 30/min, and blood pressure is 128/86 mm Hg. On physical examination, he is using accessory muscles to breathe, and his pulse oximetry is 87% on room air. Get the instant assignment help. Auscultation of the chest reveals bilateral rhonchi with diminished breath sounds in both lungs. If administered for the next 2 weeks, which is most likely to reduce subsequent exacerbations over the next 6 months?

Reference no: EM133845034

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