Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: codeine attending: chief complaint: found down and unresponsive. major surgical or invasive procedure: intubation. history of present illness: 38 yr old male with hx of bipolar d/o who was found down, unresponsive by his roommate at 10am with questionable seizure activity; empty bottle of tca and lithium at bedside. pt did not wake up to narcan or amp of d50. pt was brought to where fingerstick was 130. pt was given 3 amps of bicarb and then started on a bicarb drip. he was also given activated charcoal and ceftriaxone for leukocytosis and altered mental status. on exam, pt noted to have increased tone, hyperreflexia and bilateral gaze up and out. he was intubaed and then transferred to for further management. in , pt received another amp of bicarbonate and then was started on ivf with 3 amps of bicarbonate. a ct of the head and c-spine were done to rule out trauma during fall and were read as normal. past medical history: depression bipolar disorder hx of previous suicide attempts with overdose yrs ago social history: tobacco abuse question of alcohol abuse works as landscaper family history: non-contributory physical exam: temp 99.2, bp 145/77, hr 120, r 16, o2 100% on ac 600/16/5/100% gen: intubated, sedated, occasional twitching heent: perrl, gaze forward and equal bilaterally neck: in c-collar cv: regular, tachy, no murmurs chest: clear abd: hypoactive bowel sounds; soft, nontender ext: no edema, warm, 2+ dp neuro: hyperreflexic, lower>upper ext; upgoing toes bilaterally pertinent results: blood chemistry 12:00pm blood glucose-123* urean-6 creat-0.8 na-144 k-4.9 cl-109* hco3-26 angap-14 05:00pm blood glucose-99 urean-8 creat-1.0 na-154* k-3.4 cl-119* hco3-30 angap-8 03:10am blood glucose-100 urean-10 creat-0.9 na-143 k-3.6 cl-111* hco3-25 angap-11 ca/mg/po4 12:00pm blood calcium-7.7* phos-1.6* mg-1.8 04:47am blood calcium-7.4* phos-2.2* mg-1.6 03:10am blood calcium-8.0* phos-3.3 mg-1.9 cbc 12:00pm blood wbc-20.2* rbc-4.90 hgb-15.1 hct-44.1 mcv-90 mch-30.9 mchc-34.3 rdw-13.1 plt ct-337 03:10am blood wbc-9.0 rbc-3.98* hgb-11.7* hct-35.5* mcv-89 mch-29.5 mchc-33.1 rdw-12.7 plt ct-237 lithium 12:00pm blood lithium-0.2* 03:00pm blood lithium-<0.2 06:54pm blood lithium-<0.2 brief hospital course: this 38 yr old male with hx of bipolar d/o and possible alcohol abuse who was found down, unresponsive with half empty bottles of nortriptyline and lithium. intubated at osh and transferred to this hospital where he was admitted to micu for suspected tca and lithium toxicity. ct performed ruled out trauma. found to have prolonged qt interval on ekg. micu course characterized by hypernatremia from aggressive ns therapy to overcome na blockade. was on hco3 drip for respiratory acidosis. acidosis, hypernatremia resolved and ekg returned to and pt ws extubated . transferred to general medicine service on . since transfer pt has been stable. no events noted on telemetry. he has had no signs of delirium tremens denying tremors and hallucinations. pt currently denies suicide ideation. the major issues of this patients hospital course and treatment plan are as follows. a/p: 38m with hx of bipolar disorder and depression who was found down, unresponsive, suspected tca overdose . 1. overdose: likely tca, lithium initially a concern bu level never elevated. pt s/p activated charcoal in ed. initially on d5w with 3 amps of bicarb and then switched to ns with 3 amps of bicarb. pt became hypernatremic but this was goal to overcome na channel blockade. abgs checked frequently and goal ph of 7.5, overventilated to breathe down pco2 to keep alklemic. initially, received ativan and propofol gtt to prevent sz. - hco3 gtt stopped on and qrs remained <120 - ekg has remained stable over the last 48 hours with no events noted on telemetry. -electrolytes remain stable. . 2. airway protection: pt intubated at osh due to unresponsiveness, for airway protection. as above, pt hyperventilated to keep alkalemic. - extubated on over cook catheter . 3. leukocytosis with bandemia: likely stress response but also likely that pt aspirated. cxr neg, ua neg. - pan cx on for temp of 100.9 . 4. suicide risk: -after pt came off of sedation, he was placed with 24 h 1:1 sitter -no suicide attempt while on medicine service, pt has denied suicide ideation -now medically stable, patient to inpatient psychiatry unit for suicide risk and assessment for treatment of bipolar disorder . 5. code: full medications on admission: paxil lithium nortryptyline discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. zolpidem tartrate 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. discharge disposition: extended care facility: - discharge diagnosis: tricyclic antidepressant overdose. suicide attempt. bipolar disorder. discharge condition: stable, no sign of heart rhythm abnormalities by clinical exam and by ekg, electrolytes within normal limits. patient is medically clear for transfer to inpatient psychiatric facility. discharge instructions: please return pt to medical service if pt experiences chest pain or palpitations. followup instructions: inpatient psychiatric unit. provider: , md where: phone: date/time: 1:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube arterial catheterization diagnoses: alcohol abuse, unspecified suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents acute respiratory failure pneumonitis due to inhalation of food or vomitus hyperosmolality and/or hypernatremia bipolar i disorder, most recent episode (or current) unspecified 

Answer: The patient is high likely exposed to