Soru

A $22$-year-old college student is brought to the emergency department by his roommate due to severe agitation and bizarre behavior. The roommate reports that for the past $2$ weeks, the patient has barely slept, paced the room continuously, and claimed that government agents are monitoring his thoughts. The roommate found empty plastic baggies containing residual white powder on the patient's desk. The patient has a history of major depressive episodes and is currently prescribed sertraline. His family history is notable for a mother with bipolar disorder. In the emergency department, the patient is combative, diaphoretic, and uncooperative. Temperature is $38.2^\circ \text{C}$ ($100.8^\circ \text{F}$), blood pressure is $165/100 \text{ mmHg}$, pulse is $128/\text{min}$, and respirations are $22/\text{min}$. Physical examination reveals bilaterally dilated pupils and a fine resting tremor. Which of the following is the most appropriate next step in the management of this patient?