A 68-year-old male with a history of hypertension, atrial fi…
A 68-year-old male with a history of hypertension, atrial fibrillation, community acquired pneumonia and COPD is hospitalized for an acute COPD exacerbation characterized by increased dyspnea, cough, and purulent sputum. He is treated with a short course of systemic corticosteroids, nebulized bronchodilators, and antibiotics, and his symptoms improve. Prior to admission, his medication list consisted of salmeterol DPI 1 puff twice daily, apixaban 5 mg by mouth twice daily, and valsartan 160 mg by mouth daily. Laboratory testing on admission showed a blood eosinophil count of 70 cells/uL (within normal limits). He has no history of asthma. At discharge, the nurse practitioner is reviewing his medication list to reduce the risk of future COPD exacerbations. Which of the following is the most appropriate COPD maintenance therapy to prescribe at discharge?