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A 57-year-old female was cleaning her rose garden and accidentally cut a 0.5 cm wound in her palm with pruning scissors. She cleaned the wound with running water, and after applying local pressure, the bleeding stopped. She placed a bandage to cover the wound. Nine days later, she started having systemic rigidity, trismus, dysphagia and was taken to the local emergency department. Her heart rate is 62 beats per minute, and her blood pressure is 110/84 mmHg. What is the most appropriate management for this patient at this time?
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