Review Question - QID 213698

A 44-year-old man with a history of cirrhosis, alcohol abuse, and hepatitis C presents to the emergency department with dark stools and vomiting for the past several days. He admits to drinking large volumes of alcohol during this time frame. During the patient’s evaluation, he vomits bright red blood. His temperature is 97.7°F (36.5°C), blood pressure is 111/64 mmHg, pulse is 130/min, respirations are 12/min, and oxygen saturation is 98% on room air. Laboratory studies are obtained as seen below.

Hemoglobin: 6.0 g/dL
Hematocrit: 23%
Leukocyte count: 13,500/mm^3 with normal differential
Platelet count: 117,000/mm^3

Physical exam is notable for a confused man whose eyes are closed. He is making incoherent sounds and only withdraws his limbs to pain but does not follow commands. His abdomen is distended, and scleral icterus is noted as well. Which of the following is the most appropriate next step in management for this patient?