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: phenothiazines / depakote / thorazine attending: chief complaint: calcium channel blocker overdose major surgical or invasive procedure: triple lumen cvl, right ij history of present illness: ms. is a 29 yof with a history of bipolar d/o with multiple suicidal attempts, recently admitted to 4 to for suicidal ideation following discharge from for cutting her arms. during her recent admission to she demonstrated self destructive behavior with picking at her cut sutures and creating a noose with bedsheets when she was told she would be discharged. her outpatient psychiatrists did not want her on antidepressants because of fear of precipitating mania. ect was considered, but the pt was too scared to have this done. she reported suicidal ideation/plan on the day of discharge. she was sent to her mass mental partial program at the with a plan to go to her dbt house after that. . the patient reports that after discharge she went to where she requested a prescription for verapamil. she told the medical providers there that she was on this medication and was going out of town and needed a refill. she was given a rx of verapamil 180 mg sr tablets. of note, the two pharmacies at were called and reported no record of the pt in their pharmacy records or dispensations. on around 4 pm she took 20 tablets of this medication because she felt her psychiatrists do not listen to her and she thought this might get their attention. she states that she is sad, and wants to be on antidepressants but she has been told by her psychiatrists that she cant take them due to fear of precipitating mania. she also is discouraged that her psych providers frequently change because they are residents. prior to taking the verapamil, she premedicated with zofran 4 mg and ativan 1 mg. she denies any other ingestions. . in the ed, vs were 98.7 102 161/90 20 97% ra. labs were significant for negative cbc, chem 7, lfts, and urine and serum tox screens. toxicology was consulted. the patient received activated charcoal. she refused placement of a tube for gastric lavage or whole bowel irrigation. psych was curbsided for capacity, and given the fact that these interventions were not shown to have strong data for outcomes, they were not performed. however, it was determined that the patient we cannot refuse ekgs, iv access, fingersticks. she received 1 l ns. 99.3 fs 150 -->163--> 188 . in micu green, the patient was comfortable but was crying. she stated she did not want to die and she was scared. she was not in pain. she admitted to overdosing on benadryl and klonopin last week (went to ). she was put on levophed briefly which was d/c'd when the insulin gtt was started; her hr remained stable. she was given lasix 20mg iv hypoxia in setting of +10l she recieved repeat dose with improvement in o2 sats to 98% on 4l. she also had intermittant cp with ekg showing no ischemic changes, prolonged qtc 462, t wave flattening. as per toxicology recs, her insulin gtt was weaned. she was continued on her home psych rx and pain rx, and had a sitter. her transfer vitals upon call-out were 96.9, 96, 145/76, 26, 96%ra, i/o was los positive 6.7l. . on the medical floor, she said that she was feeling fine and does not c/o pain. she denied dizziness/lightheadedness when standing up, fever, ha, cp, sob, n/v, d/c. she says that she is feeling somewhat anxious. she says that she chose to use verapamil b/c she has used it in the past and it almost worked to end her life before. her current mood is "ok", and she does not currently have thoughts of hurting herself. past medical history: * borderline personality disorder * eating do nos (restricting, laxative use, binging/purging) hospitalizations: multiple. most recently: * * - * * * nwh * 1/. sa/sib: numerous suicide attempts in the past including 7 by means of overdose and one by means hanging; most recent attempt was in ; has had a suicide attempt by means of verapamil x2, acetaminophen which required icu admission. longstanding history of sib by means of cutting. outpatient program: dbt program at mass mental therapist: psychiatry resident: psychiatry attending: dr. . past medical history: * morbid obesity * osa * gerd * fibromyalgia * hyperlipidemia * gastroparesis social history: patient is currently living in the dbt house in and is attending the dbt partial hospital program at mass mental. unemployed and currently on ssdi. denies tobacco, etoh, or other drug use. is not sexually active. family history: mother - borderline personality disorder per patient both parents - substance abuse maternal aunt - completed suicide by means of heroin and bdz overdose physical exam: admission physical exam: vitals: 98.7 102 161/90 20 97% ra general: obese, alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, unablt to appreciate jvp secondary to body habitus lungs: clear to auscultation bilaterally cv: regular rate and rhythm abdomen: soft, non-tender, non-distended, bowel sounds present gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema . discharge physical exam: unchanged from previous except for the following: vs - temp 97.4f, bp 134/80, hr 90, r 18, o2-sat 95% ra general - obese woman in nad, comfortable, appropriate heent - r eye lateral strabismus, nc/at, perrl, eomi, sclerae anicteric, mmm, op clear lungs - mild crackles at bases bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use psych - her current mood is "fine", and she does not currently have thoughts of hurting herself. pertinent results: admission labs: 05:30pm blood wbc-9.5 rbc-4.89 hgb-13.0 hct-37.3 mcv-76* mch-26.7* mchc-35.0 rdw-14.9 plt ct-332 05:04am blood pt-13.9* ptt-35.1* inr(pt)-1.2* 05:30pm blood glucose-153* urean-9 creat-0.6 na-138 k-4.3 cl-102 hco3-26 angap-14 05:30pm blood alt-14 ast-16 alkphos-78 totbili-0.1 . discharge labs: 06:00am blood wbc-5.9 rbc-4.01* hgb-10.7* hct-31.1* mcv-77* mch-26.7* mchc-34.5 rdw-15.3 plt ct-271 06:00am blood plt ct-271 06:00am blood glucose-112* urean-16 creat-0.7 na-140 k-3.8 cl-102 hco3-32 angap-10 06:00am blood calcium-8.9 phos-4.9* mg-1.7 . microbiology: - urine cx: urine culture (final ): mixed bacterial flora ( >= 3 colony types), consistent with skin and/or genital contamination. . imaging: - ecg: normal sinus rhythm at a rate of 77. there is slight qtc interval prolongation. there appears to be a u wave potentially superimposed on the t wave. - ecg: normal sinus rhythm at a rate of 91. non-specific st-t wave changes are present which are unchanged compared with the previous tracing. - cxr: findings: as compared to the prior examination, there appears to be decreased vascular congestion. aeration at the right base may be slightly improved with some residual atelectasis and pleural effusion. no pneumothorax is seen. the heart size is normal. a right-sided central line is unchanged with tip in the svc. brief hospital course: ms. is a 29yo woman with a h/o bipolar d/o with multiple suicidal attempts who had a brief micu stay for treatment of intentional verapamil ingestion. in summary, she was treated in the micu with levophed, iv fluids, and insulin gtt; she never became bradycardic. she was called out to the floor on and was stable, and did not endorse suicidal ideation while on the medical floor. . active issues: . # calcium channel blocker (verapamil) toxicity: she was thought to have ingested about 3600 mg of extended release verapamil. while the pharmacies at said that they had no record of the pt and had not given her the verapamil; and thus it is unclear where she obtained it from. in the micu, she was not bradycardic and had no ecg changes but was on levophed for a short time. she was monitored for bradycardia and pr interval prolongation, neither of which was observed. she was hypotensive and received 10l of ivf in the first 10 hours of her hospitalization. she required levophed for a short period of time in the icu for blood pressure support, and was treated with an insulin drip of 100units/hour overnight and supported with d10w at 100/hr while on the drip. her glucose was monitored q30min, and she was transitioned to insulin and glucose gtt which was subsequently weaned. she was able to be taken off the insulin gtt as well as the d10 gtt prior to transfer to the floor. on the regular medical floor, she was clinically stable with stable vs. she was slightly fluid-overloaded and was diuresed well with lasix 20mg iv bid. . # suicidal ideation: she has a h/o bipolar disorder and anxiety, and has had multiple psychiatric admissions for suicidal attempts and ideation in the past. she has had unsuccessful hospitalizations and has not been started on anti-depressants because of fear of mania. psychiatry was consulted and followed to help manage her medications prior to her transfer to an inpatient hospitalization. social work was also consulted to help with her management. . inactive issues: . # osa: on cpap at home. this was maintained while in house. . #back pain and fibromyalgia: home oxycodone was continued. . # gastroparesis: npo in the micu. reglan, zofran, simethicone were restarted when she was stable and safely taking pos. . # gerd: restart omeprazole when she started taking po. . transitions of care: -transfer to psychiatry on 4 medications on admission: home medications: 1. neomycin-bacitracnzn-polymyxin qday (not currently used) 2. simethicone 80 mg 3. ondansetron 4 mg tablet,tidac 4. oxycodone 10 mg tablet extended release q12 prn 5. pregabalin 75 mg 6. propranolol 10 mg tid 7. ibuprofen 600 mg q8 prn 8. trazodone 100 mg qhs 9. omeprazole 40 mg delayed release(e.c.) q day 10. senna 8.6 mg 11. metoclopramide 10 mg 12. hyoscyamine sulfate 13. hydroxyzine hcl 25 mg tid 14. hydroxyzine hcl 50 mg q day prn anxiety 15. lorazepam 1 mg q 8 prn 16. clonazepam 2 mg po qhs 17. lamotrigine 250 mg qday 18. clonazepam 1 mg qday 19. haloperidol 1 mg tid discharge medications: 1. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po twice a day as needed for gas. 2. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po tidac (3 times a day (before meals)). 3. oxycodone 10 mg tablet extended release 12 hr sig: one (1) tablet extended release 12 hr po q12h (every 12 hours). 4. pregabalin 75 mg capsule sig: one (1) capsule po twice a day. 5. propranolol 10 mg tablet sig: one (1) tablet po three times a day. 6. ibuprofen 600 mg tablet sig: one (1) tablet po every eight (8) hours as needed for pain. 7. trazodone 100 mg tablet sig: one (1) tablet po hs (at bedtime). 8. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 10. metoclopramide 10 mg tablet sig: one (1) tablet po bid (2 times a day). 11. hyoscyamine sulfate 0.125 mg tablet sig: one (1) tablet po twice a day. 12. hydroxyzine hcl 25 mg tablet sig: two (2) tablet po daily (daily) as needed for anxiety. 13. hydroxyzine hcl 25 mg tablet sig: one (1) tablet po three times a day. 14. lorazepam 1 mg tablet sig: one (1) tablet po every eight (8) hours as needed for anxiety. 15. clonazepam 1 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 16. clonazepam 1 mg tablet sig: one (1) tablet po daily (daily). 17. lamotrigine 100 mg tablet sig: 2.5 tablets po daily (daily). 18. haloperidol 1 mg tablet sig: one (1) tablet po three times a day. discharge disposition: extended care discharge diagnosis: primary diagnosis: calcium channel blocker toxicity suicide attempt major depression discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent discharge instructions: dear ms. , it was a privilege to provide care for you here at the hospital. you were admitted for treatment of a verapamil overdose. in the intensive care unit, you were treated with fluids and other medicines, and when your condition stabilized you were transferred to the regular medical floor. you were given diuretics to help get some of your excess fluid off, and you were stable. you were followed closely by the psychiatry team. your condition has improved and you can be discharged to an inpatient psychiatric treatment facility. the following changes were made to your medications: new: none changed: none stopped: none please keep your follow-up appointments as scheduled below. followup instructions: department: medical specialties when: wednesday at 8:00 am with: rrt/dr. building: sc clinical ctr campus: east best parking: garage procedure: venous catheterization, not elsewhere classified diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux other and unspecified hyperlipidemia anxiety state, unspecified major depressive affective disorder, single episode, unspecified morbid obesity bipolar disorder, unspecified myalgia and myositis, unspecified other specified hypoglycemia suicide and self-inflicted poisoning by other specified drugs and medicinal substances gastroparesis borderline personality disorder eating disorder, unspecified poisoning by coronary vasodilators history of physical abuse 

Answer: The patient is high likely exposed to