Answer
$-44$.
Work Step by Step
The given expression is
$=-2\left (3\sqrt{9} +13\right )$
Use $9=3^2$.
$=-2\left (3\sqrt{3^2} +13\right )$
Evaluate the square root.
$=-2\left (3(3) +13\right )$
Multiply.
$=-2\left (9 +13\right )$
Add.
$=-2\left (22\right )$
Multiply.
$=-44$.