28th May 2025

A 92-year-old woman with end-stage COPD is experiencing a persistent cough which, despite regular sodium chloride nebulisers and carbocisteine, is now impacting her sleep.

A 92-year-old woman with end-stage COPD is experiencing a persistent cough which, despite regular sodium chloride nebulisers and carbocisteine, is now impacting her sleep. She uses a LABA and LAMA inhaler and is not on any other medications. You have taken a history and examined the patient and feel the cough is secondary to her COPD. What is the best next step in management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.