Note: not obvious, to get the matrix for a composition of Möbius transformations you multiply the matrices, in the same order.
The problem is largely about the Pell equations $ p^2 - 2 q^2 = \pm 1.$ You have an integer matrix
$$
M =
\left(
\begin{array}{rr}
1 & 2 \\
1 & 1
\end{array}
\right)
$$ so
$$
M^2 =
\left(
\begin{array}{rr}
3 & 4 \\
2 & 3
\end{array}
\right)
$$ and
$$
M^3 =
\left(
\begin{array}{rr}
7 & 10 \\
5 & 7
\end{array}
\right)
$$ and
$$
M^4 =
\left(
\begin{array}{rr}
17 & 24 \\
12 & 17
\end{array}
\right)
$$
Let us name
$$ M^n =
\left(
\begin{array}{rr}
p_n & 2 q_n \\
q_n & p_n
\end{array}
\right).
$$
Various things happen, because we are dealing with the continued fraction for $\sqrt 2.$ For example,
$$ p_n^2 - 2 q_n^2 = ( -1)^n. $$
Furthermore
$$ p_{n+2} = 2 p_{n+1} + p_n, $$
$$ q_{n+2} = 2 q_{n+1} + q_n. $$
Here we have
$$ p_1 = 1, p_2 = 3, p_3=7, p_4 = 17, $$
$$ q_1 = 1, q_2 = 2, q_3 = 5, q_4 = 12, $$
Note that both $p,q$ got to infinity, both can be written as a constant times $(1 + \sqrt 2)^n$ plus some other constant times $(1 - \sqrt 2)^n,$ the former larger than $1$ and the latter between $-1$ and $0.$
We do not need much specific other than
$$ \frac{p^2}{q^2} - 2 = \frac{(-1)^n}{q^2} $$
so that the limit of $p/q$ really is $\sqrt 2.$ Here I begin to drop the subscript $n$'s on the $p,q$ numbers.
With initial value $a > 0,$ your fraction is the ratio of the entries in
$$
\left(
\begin{array}{rr}
p_n & 2 q_n \\
q_n & p_n
\end{array}
\right)
\left(
\begin{array}{r}
a \\
1
\end{array}
\right) \mapsto
\frac{a p_n + 2 q_n}{a q_n + p_n},
$$
or
$$
\frac{a p + 2 q}{a q + p}
$$
as an abbreviation.
Not as much trickery needed as I had first thought. From here we get
$$
\frac{a p + 2 q}{a q + p} =
\frac{a \frac{p}{q} + 2 }{a + \frac{p}{q}} =
\frac{a \frac{p}{q} + \frac{p^2}{q^2} }{a + \frac{p}{q}} + \frac{2 - \frac{p^2}{q^2}}{a + \frac{p}{q}} =
\frac{p}{q} + \frac{ \frac{(-1)^{n+1}}{q^2}}{a + \frac{p}{q}}
$$
so that
$$
\frac{a p + 2 q}{a q + p} = \frac{p}{q} \; + \; \frac{ (-1)^{n+1}}{a q^2 + pq}
$$
That finishes it. Note that
$$ \left| \frac{p}{q} - \sqrt 2 \right| < \frac{1}{q^2}. $$
With
$$ q_n = \frac{1}{2 \sqrt 2} \left(1 + \sqrt 2 \right)^n - \frac{1}{2 \sqrt 2} \left(1 - \sqrt 2 \right)^n $$
we see that the distance from $\sqrt 2$ becomes quite small.
Meanwhile
$$ p_n = \frac{1}{2 } \left(1 + \sqrt 2 \right)^n + \frac{1}{2 } \left(1 - \sqrt 2 \right)^n $$