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Review Question - QID 213673

Spontaneous Bacterial Peritonitis (SBP) Studies Diagnostic testing QID: 213673 (M2.OMB.19.4744)
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QID 213673 (Type "213673" in App Search)
A 57-year-old man presents to the emergency department with abdominal pain and a fever. He has a past medical history of cirrhosis secondary to alcohol abuse. The patient is generally not compliant with his medical care. His temperature is 102°F (38.9°C), blood pressure is 112/78 mmHg, pulse is 117/min, respirations are 22/min, and oxygen saturation is 99% on room air. Physical exam is notable for a confused man who demonstrates asterixis. His abdomen is distended with a positive fluid wave and is diffusely tender. Which of the following is the most appropriate initial step in the management for this patient?
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