We are trying to keep Lucy comfortable, she is needing more meds to achieve this. Increasing her ketamine dosing has caused her blood pressures to soar, currently 184/114, and her heart rates to plummet into the 90’s from the 160’s. Agitated and irritable would be how I would describe Lucy. She has developed petechia, a very splotchy red rash, all over her body where ever anything comes in contact with an area. This has everyone wondering what her platelet count is. For now we have turned Lucy on her left side in an effort to lower her blood pressure as well as turned down her infusion rate on her ketamine. We will bolus her extra ketamine as needed for pain control. We are investigating other options for pain control.