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: overdose major surgical or invasive procedure: endotracheal intubation . history of present illness: 43 yo m with bipolar and suicidal ideations attempted suicide w/ od on clomipramine (tca), fluoxetine, topamax, and ativan. unknown doses. all pills mashed up in oatmeal and eaten. unknown time of ingestion (per ed note ?around 4pm). pt wrote a suicide letter prior ingestion. pt was found stuporous at home by a friend, was brought to by ems. . in the ed, his vs were 97.8, 79, 84/61, 16, 100%nrb. his ms worsened and he was intubated for airway protection. an ekg showed a qrs of 96. he received once charcoal (50 grams) po. a bicarb drip was started at 250cc/h. he was admitted to the icu for further management. past medical history: bipolar disorder social history: used marijuana x20yrs but quite marijuana, cigarettes and etoh in . since then, he has had 3 suicide attempts, the last one now. his psychiatrist dr. has recently been in contact with dr. ( psychiatrist) for planned ect on monday. family history: non-contributory physical exam: vs: temp: 98.7 bp: 102/78 hr: 95 rr: 17 o2sat: 96% on mmv 500x15, fio2 0.6, psv 15/5 gen: intubated/sedated heent: dilated, slowly reactive pupils, anicteric, et tube in place neck: supple, no jvd resp: cta b/l anteriorly cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses ext: no c/c/e, warm, good pulses skin: no rashes/no jaundice neuro: intubated and sedated. moves spontaneously all extremities. pertinent results: 08:40pm wbc-6.4 rbc-4.34* hgb-13.6* hct-40.5 mcv-93 mch-31.4 mchc-33.7 rdw-13.1 08:40pm plt count-285 08:40pm glucose-102 urea n-23* creat-1.2 sodium-140 potassium-3.6 chloride-105 total co2-22 anion gap-17 08:40pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-pos 08:40pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-7.0 leuk-neg . abg: ph 7.38 pco2 42 po2 344 hco3 26 . ua negative . ekg: nsr at 88, nl axis, qrs 96 (repeat ekg: qrs 90), nsstw changes . brief hospital course: 43 yo m with bipolar, suicidal ideations attempted suicide w/ od on clomipramine (tca), fluoxetine (ssri), topamax, and ativan. . 1. intentional toxic ingestion: intentional overdose on multiple psychiatric medications. urine and serum tox screens positive only for tcas. unclear amount and time-course of ingestion. required intubation for worsening mental status. toxicologist contact in the . received charcoal and bicarb drip. qrs interval <106 since arrival. intubated overnight with goal ph 7.5. extubated on hd2 without incident. he was transferred to the medical floor on hd3 for observation. he remained alert and oriented x 3 with clear sensorium. he did develop a metabolic acidosis on hd3, which was transient and resolved with ivf with bicarb. . 2. psych: h/o bipolar d/o. given suicide attempt, he was observed by 1:1 sitter. safety food tray. psychiatry was consulted. pt was medically cleared on hd4 and is being transferred to an inpatient psychiatric unit. . medications on admission: clomipramine lorazepam fluoxetine topamax . discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). . discharge disposition: extended care facility: 4 discharge diagnosis: primary diagnosis: 1. tca overdose 2. bipolar disorder . discharge condition: vital signs stable. alert and oriented x 3. denies suicidal ideation. . discharge instructions: you were admitted to the hospital for a drug overdose in the setting of a suicide attempt. you were admitted to the icu for close monitoring and were intubated for one day. you were then observed on the regular medical floor and cleared medically for transfer to an inpatient psychiatric unit for further treatment. . once back at home, if you develop thoughts of wanting to hurt yourself or end your life, chest pain, shortness of breath, or persistent fever> 101, you should return to the ed. . followup instructions: you should follow up with your primary care provider and your psychiatrist. . md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: personal history of tobacco use suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents poisoning by benzodiazepine-based tranquilizers acute respiratory failure bipolar disorder, unspecified poisoning by other and unspecified anticonvulsants suicide and self-inflicted poisoning by other specified drugs and medicinal substances other alteration of consciousness alcohol abuse, in remission cannabis abuse, in remission 

Answer: The patient is high likely exposed to