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: heparin agents attending: chief complaint: hyperkalemia major surgical or invasive procedure: hemodialysis history of present illness: the patient is a 67 yo french-creole speaking female with esrd diabetic nephropathy on hd and hypertension p/w nausea and dizziness for one day. the patient endorses two episodes of non-bilious, non-blood vomiting over last 24 hours as well. denies any chest pain, but has had intermittent shortness of breath throoughout the day. the patient's most recent dialysis session was two days prior to admission (saturday), and proceeded without complication according to the patient. the patient endorses taking all of her daily medications today, including all cardiac meds, but is unable to provide further details about timing. . in the ed inital vitals were, 96.8 32 162/53 18 97%ra. labs were significant for initial k 6.8. ekg was significant for bradycardia to 31 and prolonged qtc. no peaked t waves, qrs widening, or pr prolongation. the patient was given insulin/d50/ca gluconate, and her k trended to 5.8. patient was also given kayexelate 30 g. lactate was 2.4. troponin was 0.02. the patient was admitted to the micu for bradycardia. vs on transfer: 150/70 34 18 100%ra. . on arrival to the icu, the patient endorses no current symptoms. she denies any n/v, dizziness, lightheadedness, cp or sob. review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: esrd on hd m/w/f type 2 diabetes hypertension gerd osteomyelitis glaucoma hepatitis b hepatitis c hemorrhoids c. diff colitis hit antibody positive social history: -home lives with , her husband -cigarettes none -alcohol none -caffeine light family history: noncontributory physical exam: vitals: t: bp: 175/51 p: 66 r: 16 o2: 97%ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no m/r/g abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: tunneled dialysis catheter in place in l subclavian, c/d/i . discharge vitals 98.9, 136/50, 60, 18, 96ra exam unchanged from admission exam as documented above. pertinent results: cxr: findings: ap portable view of the chest demonstrates the hilar and mediastinal silhouettes are unremarkable. aortic arch calcifications are present. moderate cardiomegaly and mild pulmonary edema are new. minor fissure thickening reflects edema. there is no pneumoperitoneum dialysis catheter tip projects over cavoatrial junction, unchanged. nasogastric tube has been removed. impression: new mild cardiac decompensation. . blood cultures pending at the time of discharge. . ecgs initially demonstrating sinus arrest with junctional escape rhythm at rate in 30s and retrograde p wave, subsequently in a bradycardic ectopic atrial rhythm, eventually in sinus bradycardia (rate 60) with stt changes c/w known lvh and prior ecgs. . 09:05pm blood wbc-4.8 rbc-3.59* hgb-10.2* hct-30.1* mcv-84 mch-28.4 mchc-34.0 rdw-17.0* plt ct-166 09:38am blood wbc-7.0 rbc-3.58* hgb-10.7* hct-30.3* mcv-85 mch-29.8 mchc-35.2* rdw-17.3* plt ct-121* 07:15am blood wbc-9.3 rbc-3.69* hgb-10.8* hct-30.8* mcv-83 mch-29.2 mchc-35.0 rdw-17.7* plt ct-91* 09:05pm blood plt ct-166 09:38am blood plt ct-121* 07:15am blood plt smr-low plt ct-91* 09:05pm blood neuts-52.8 lymphs-33.5 monos-5.0 eos-8.3* baso-0.4 02:26am blood glucose-325* urean-58* creat-7.4* na-135 k-7.2* cl-98 hco3-27 angap-17 09:38am blood glucose-112* urean-20 creat-3.9*# na-140 k-3.4 cl-101 hco3-28 angap-14 07:15am blood glucose-56* urean-18 creat-4.0* na-142 k-3.0* cl-99 hco3-33* angap-13 02:26am blood calcium-8.9 phos-4.9* mg-2.6 09:38am blood calcium-8.8 phos-3.1# mg-2.0 07:15am blood calcium-9.4 phos-3.2 mg-1.9 . brief hospital course: the patient is a 67 yo french-creole speaking female with esrd secondary to diabetic nephropathy on hd and poorly-controlled hypertension who presented on with nausea and dizziness and was found to be hyperkalemic to 6.8, and bradycardic to 31 with prolonged qtc. she hadn't missed any hd (last session was 2 days prior to admission). the patient endorsed taking all of her medications. ros was positive for two episodes of non-bilious, non-bloody vomiting over the preceding 24 hours as well. in the er the patient was given insulin/d50/ca gluconate, and her k trended to 5.8. patient was also given kayexelate 30 g. the patient was admitted to the micu for persistent assymptomatic bradycardia. ecgs initially demonstrating sinus arrest with junctional escape rhythm at rate in 30s and retrograde p wave, she was subsequently in a bradycardic ectopic atrial rhythm, eventually she converted spontaneously to sinus bradycardia with stt changes c/w known lvh and prior ecgs. during her icu stay she was noted to be hypertensive in the setting of holding of all of her antihypertensives, so amlodipine, nifedipine, hydralazine, lisinopril, and lasix were restarted. she also had a fever to 100.0 and blood cultures were drawn which are pending with no growth to date at the time of discharge. hd was performed on and she was seen by her outpatient nephrologist dr. . after transfer to the medical floor she remained normotensive and relatively bradycardic (resting hr 60) off of labetalol. she was discharged on all of her home anti-htns except labetalol given sinus bradycardia and lasix as she is anuric. we advised her to discuss the combination of amlodipine and nifedipine with her outpatient providers as both of these medications belong to the same class. we also advised her to discuss simvastatin given the possiblity of increased adverse events when combined with amlodipine. an appointment was made for her to follow-up with her pcp. medications on admission: active medication list as of : amlodipine - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day apraclonidine - (prescribed by other provider) - 0.5 % drops - three times a day ergocalciferol (vitamin d2) - (prescribed by other provider) - 50,000 unit capsule - 1 capsule(s) by mouth once a week furosemide - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth once a day hydralazine - (prescribed by other provider; dose adjustment - no new rx) - 10 mg tablet - 50 four times a day insulin glargine ] - (prescribed by other provider) - 100 unit/ml solution - 10 hs labetalol - (prescribed by other provider) - 200 mg tablet - 1 tablet(s) by mouth twice a day latanoprost - (prescribed by other provider) - 0.005 % drops - hs lisinopril - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day nifedipine - (prescribed by other provider) - 60 mg tablet extended rel 24 hr - 1 tablet(s) by mouth once a day simvastatin - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth once a day timolol - (prescribed by other provider) - 0.5 % drops - once a day ferrous sulfate - (prescribed by other provider) - 325 mg (65 mg iron) tablet - 1 tablet(s) by mouth three times a day insulin regular human - (prescribed by other provider) - 100 unit/ml solution - as dir as discharge medications: 1. amlodipine 10 mg tablet : one (1) tablet po once a day. 2. apraclonidine 0.5 % drops : one (1) drop ophthalmic tid (3 times a day). 3. hydralazine 50 mg tablet : one (1) tablet po q6h (every 6 hours). 4. insulin glargine 100 unit/ml solution : ten (10) units subcutaneous at bedtime: continue to take the same doses of insulin at home as you did previously. 5. latanoprost 0.005 % drops : one (1) drop ophthalmic hs (at bedtime). 6. lisinopril 10 mg tablet : one (1) tablet po daily (daily). 7. nifedipine 60 mg tablet extended release : one (1) tablet extended release po daily (daily). 8. simvastatin 20 mg tablet : one (1) tablet po once a day. 9. timolol maleate 0.5 % drops : one (1) drop ophthalmic daily (daily). 10. ferrous sulfate 300 mg (60 mg iron) tablet : one (1) tablet po daily (daily). 11. humulin r 100 unit/ml solution : as directed injection four times a day: continue to use the same sliding scale as you did previously. discharge disposition: home with service facility: vna discharge diagnosis: hyperkalemia complicated by sinus arrest with junctional escape. esrd on hemodialysis. dmii complicated, poorly controlled hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , you came to the emergency department with nausea and were admitted to the medical icu with hyperkalemia (high potassium in the blood) and ekg changes which resolved with medication and dialysis. we have stopped labetalol and have continued all of your other home medications. please follow-up with your nephrologist at dialysis regarding when to re-start labetalol. we have also stopped lasix, as you do not make urine, this medication has no effect on you. please adhere to a low-potassium diet. you were provided with information regarding this. you should discuss the combination of amlodipine and nifedipine with your pcp as these two medications are very similar--we did not change this as you have been on this combination for at least over 6 months. also, please discuss switching simvastatin to an alternative cholesterol medication with your pcp given the small risk of an interaction with amlodipine. please also discuss with your pcp and nephrologist whether you should be taking aspirin daily. ================== medication changes: stop lasix hold labetalol and discuss with your nephrologist at dialysis followup instructions: name: , b. location: - address: , , phone: when: friday, , 2:30 pm --previously scheduled appointments: department: cardiac services when: thursday at 3:00 pm with: echocardiogram building: sc clinical ctr campus: east best parking: garage department: transplant center when: friday at 3:40 pm with: , md building: lm bldg () campus: west best parking: garage department: hemodialysis when: thursday at 12:00 pm md procedure: hemodialysis diagnoses: hyperpotassemia end stage renal disease renal dialysis status anemia, unspecified esophageal reflux personal history of other infectious and parasitic diseases unspecified glaucoma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified cardiac dysrhythmias long-term (current) use of insulin fever, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to