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: patient recorded as having no known allergies to drugs attending: chief complaint: evaluation of likely bipolar exacerbation major surgical or invasive procedure: patient coded on daialysis unit, transferred to micu 6. history of present illness: 57 yo female, bipolar disorder, on dialysis, previously maintained stably for >20 years on lithium. per her outpatient pcp she has been managing poorly at her current nursing home even as her psychiatrist has been trying to manage her illness with increasing doses of risperdal. according to his report she has been more and more manic, grandiose and refusing medications or interaction with team. pcp notes that celebration of the chinese new year tipped her over into a state where the nh could no longer manage her. acccording to rehab facility staff, over recent (last 3) days patient has been sexually inappropriate yelling at a male nurse who she expressed interest in, urinating on the carpet, threw a ball at the dining room window, and was yelling and screaming intermitently. she has been observed speaking on her telephone to 'the queen of .' and three days ago in a paranoid manner accused another resident at the rehab facility of stealing her money. she normally is alert, knows the days of the week, which days she goes for dialysis, is not paranoid and is in good behavioral control. she has not appeared to be obtunded or sedated at any time. there is no clear stressor for this decompensation. past medical history: past psychiatric hx: (obtained from medical record). no hospitalizations since >20 years. previously multiple hospitalizations for what seem to be manic episodes with psychotic features. diagnosed as bipolar d/o. patient was stable on lithium for several years. depakote had to be discontinued for possible link to pancreatitis. patient has been treated with risperdal. (but pt. has been resistant and often non-compliant to increased doses of risperdal, goal had been 2-4mg po bid) reports cutting wrist in late 60's, but no suicidality or dangerousness otherwise known. pmh: # esrd on hd - started in , mwf, ckd felt to be d/t li toxicity # osteoarthritis/djd # bipolar disorder # h/o pancreatitis # pancreatic divisim # hypertension # h/o nephrogenic diabetes insipidus secondary to lithium # obesity # chronic cough # asthma social history: currently living at healthcare center rehab facility (. previously, lived alone in . reports being engaged x 1 year ago. mother is closest family member. sister : . er : . denies etoh, tobacco, drug use; currently stox/utox negative. family history: unknown physical exam: initial mse in ed: patient in room on face mask, heavily sedated. on exam, somewhat overweight asian female, heavily sedated, responding to sternal rub with a cry and hands raised. holds eyes closed. speech: unable to assess. tp: unable to assess. tc: unable to assess. mood: unable to assess. affect: unable to assess. i/j: unable to assess. cognitive: unable to assess. pertinent results: 07:50am glucose-93 urea n-36* creat-5.5* sodium-129* potassium-3.8 chloride-95* total co2-22 anion gap-16 07:50am calcium-10.0 phosphate-5.8* magnesium-1.9 07:50am wbc-8.5 rbc-2.37* hgb-7.8* hct-24.9* mcv-105* mch-32.9* mchc-31.3 rdw-17.1* 07:50am plt count-218 brief hospital course: patient arrived to 4 in the early evening of , and was very somnolent. she was noted to have received haldol 5 mg and ativan 1 mg prior to arrival on the unit, and sedated as a result. her initial evaluation was limited due to her falling asleep repeatedly, but she appeared delusional and expansive in affect. overnight the patient was agitated, and she received a chemical restraint of haldol 5mg, ativan 2mg. additionally she was noted to have increased heart rate to the 120s, and had an individual o2 saturation in the 60s which returned to the 80s after a nebulizer treatment. patient's vital signs stabilized overnight. patient was maintained on the same medications and doses that she had been receiving on the medical floor, and went to hemodialysis prior to being seen by the team on the am of . during her dialysis treatment, a code blue was called for pulselessness. a code was performed and she was transferred to the medical intensive care unit. medications on admission: 1. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 3. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 7. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 9. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 10. sevelamer 800 mg tablet sig: 1.5 tablets po tid (3 times a day). 11. epoetin alfa 10,000 unit/ml solution sig: one (1) injection asdir (as directed). 12. haloperidol 5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for agitation. 13. lorazepam 1 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 14. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift discharge medications: discharge medications: 1. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 3. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 7. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 9. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 10. sevelamer 800 mg tablet sig: 1.5 tablets po tid (3 times a day). 11. epoetin alfa 10,000 unit/ml solution sig: one (1) injection asdir (as directed). 12. haldol 2.5 mg po q6 hours, 2 mg po prn discharge disposition: extended care facility: micu 6 discharge diagnosis: i. bipolar affective disorder ii. deferred iii. chronic cough, osteoarthritis, end stage renal disease discharge condition: patient coded while on hemodialysis, and was transferred to the micu discharge instructions: transferred to micu followup instructions: transferred to micu md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances hemodialysis transfusion of packed cells diagnoses: other iatrogenic hypotension anemia in chronic kidney disease end stage renal disease asthma, unspecified type, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure pneumonitis due to inhalation of food or vomitus anoxic brain damage secondary hyperparathyroidism (of renal origin) nephrogenic diabetes insipidus bipolar i disorder, most recent episode (or current) manic, unspecified 

Answer: The patient is high likely exposed to