for people not requiring hospital admission: reassess if symptoms worsen rapidly, take into account other possible diagnosis, monitor for any signs or symptoms of more serious condition such ad sepsis, be aware of ABX resistance - send sputum, prescribe ABX for 7-14 days, withhold if on long term ABX, ensure suitable airway clearance technique and refer to PT if this has not been taught. PX routine inhaler ICS - trial long acting bronchodilator