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: history of present illness: the patient is a 33-year-old woman with a history of asthma and essential hypertension who presented to the emergency room with a complaint of nausea, vomiting (nonbilious), abdominal pain, and throat tightness. in the emergency room, the patient was found to be hypotensive with systolic blood pressure of 50 and a heart rate of 40. electrocardiogram was consistent with complete heart block. the patient was given 3 mg of atropine, and started on dopamine and intravenous fluids without response. pacing wires were then placed, and the patient was given 7 liters of intravenous fluids, and levophed and vasopressin 7.27/33/433, and the patient was subsequently intubated. prior to admission, the patient was on verapamil for treatment of hypertension. differential for new hypotension included verapamil overdose, and the patient was given calcium gluconate 4 ampules intravenously and insulin with no improvement in blood pressure. following intubation, the patient was noted to be wheezing on examination. given his history of asthma, the patient was started on intravenous solu-medrol and nebulizers. past medical history: 1. essential hypertension; the family reported the patient took verapamil intermittently. 2. asthma; on albuterol as needed. medications on admission: medications on admission included albuterol as needed and verapamil. allergies: no known drug allergies. social history: the patient is married and lives with her husband and children. she works data entry and receptionist at a probation office. no history of tobacco or alcohol use. physical examination on presentation: physical examination on admission revealed temperature was 97.4, heart rate was ventricularly paced at 82, blood pressure was 97/47 (on dopamine, levophed, and vasopressin). in general, intubated. cardiovascular revealed no murmurs, rubs or gallops. pulmonary revealed expiratory wheezes, poor air movement. the abdomen was distended with no bowel sounds appreciated. extremities revealed no clubbing, cyanosis or edema. no palpable lower extremity pulses. rectal revealed menses, heme-positive. pelvic revealed no tampon. pertinent laboratory data on presentation: laboratories on admission revealed white blood cell count was 18.8, hematocrit was 36.4 (differential with 87.6% neutrophils, no bands, 10% lymphocytes), platelets were 394. inr was 1.4. creatinine was 3.7, blood urea nitrogen was 30, potassium was 3.9. amylase was 170, alt was 30, ast was 26. creatine kinase was 123. total bilirubin was 0.4. lipase was 27. thyroid-stimulating hormone was 2.3. toxicology screen was negative. lactate was 12.8. verapamil level was 2190 (normal 100 to 600). microbiology: microbiology revealed blood cultures from revealed no growth to date. urine culture on with mixed bacterial flora consistent with contamination. sputum culture from with growth of oropharyngeal flora. stool culture was negative for clostridium difficile colitis. radiology/imaging: ct of the abdomen without contrast revealed moderate ascites in the upper abdomen surrounding pancreas with adjacent focal dilated and thickened loops of small bowel. a follow-up ct on showed resolved thickening and dilation of loops of small bowel, improved intra-abdominal ascites. echocardiogram revealed left ventricular cavity size and systolic function were normal. right ventricular chamber size and free wall motion were normal. mitral regurgitation of 1+. estimated pulmonary artery systolic pressure was normal. hospital course: the patient is a 33-year-old woman with a history of essential hypertension and asthma who presented to the emergency department with a 1-day history of nausea and vomiting. the patient was found to be hypotensive on three pressors. the patient was intubated for progressive metabolic and respiratory acidosis. the etiology of hypotension was thought to likely be multifactorial included vomiting, decreased oral intake, complete heart block with poor forward flow, and possibly sepsis with lactate of 12.8 on admission. the patient was started on intravenous fluids and pressors (levophed, dopamine, and vasopressin) for blood pressure support. the differential diagnosis for hypotension included sepsis as the patient presented with an elevated white blood cell count of 18.8 in the setting of receiving intravenous steroids. however, the patient was afebrile with no preceding illness. the patient was started on broad spectrum antibiotics and blood, urine, and sputum cultures were sent; and all showed no growth to date. antibiotics were discontinued on hospital day five when cultures returned negative. in addition, a concern of pancreatitis with slightly elevated amylase but with a normal lipase. a ct scan of the abdomen was obtained which did not show evidence of pancreatitis. verapamil level was sent for concern of verapamil overdose. in the emergency room, the patient was noted to be in complete heart block on electrocardiogram. temporary pacing wires were placed at that time. the patient converted to a normal sinus rhythm on hospital day three, and temporary wires were removed. verapamil level came back grossly elevated at 2190 (normal 100 to 600) indicating a verapamil overdose as the etiology of hypotension and complete heart block. during this hospital course, the patient's pressors were weaned. in addition, the patient blood pressure following medical intensive care unit course was elevated to the 150s. the patient was started on hydralazine and norvasc prior to discharge. 2. pulmonary: the patient was intubated with metabolic and respiratory acidosis. following intubation, the patient was noted to have elevated plateau pressures with wheezing on examination. the patient was started on intravenous solu-medrol and nebulizers for presumed bronchospasm given history of asthma. the patient was subsequently extubated and had no further episodes of wheezing or shortness of breath. 3. infectious disease: on admission, the patient had a leukocytosis with left shift. blood, urine, and sputum cultures were sent. the patient was started on empiric treatment with ceftriaxone, flagyl, and vancomycin. cultures returned negative, and antibiotics were discontinued. leukocytosis was thought to be secondary to steroids given for treatment of bronchospasm. 4. renal: the patient presented with acute renal failure likely ischemic acute tubular necrosis in the setting of hypotension. admission creatinine of 3.9 decreased to 0.9 at the time of discharge without intervention. 5. psychiatry: verapamil level on admission was grossly elevated at 2190, indicating a verapamil overdose as the cause of hypotension. as verapamil is hepatically metabolized, acute renal failure would not explain the elevated level. a psychiatry consultation was obtained. the patient denied taking overdose. she did recall confusion as to whether her medication was (as her prior antihypertensive had been) and thinks that she was taking verapamil x the several days prior to admission. in addition, the patient denied any suicidal ideation or intention. she denied a history of depression or mania. the patient was noted to lack insight into importance of taking medication properly and consistently. discharge diagnoses: 1. verapamil overdose. 2. acute renal failure related to hypotension due to #1. 3. complete heart block due to #1. 4. anemia. condition at discharge: condition on discharge was stable. discharge followup: at discharge, the patient was to follow up with dr. on at 9:30 a.m. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: acidosis esophageal reflux acute kidney failure with lesion of tubular necrosis unspecified septicemia acute respiratory failure atrioventricular block, complete alkalosis acute pancreatitis 

Answer: The patient is high likely exposed to