Review Question - QID 104571

A 26-year-old male is brought to the emergency department by paramedics following a high-speed accident while riding his motorcycle. On arrival to the emergency department, he has a GCS of 6 and his vitals demonstrate T: 36 deg C, HR: 130 bpm, BP: 83/45 mmHg, RR: 8, SaO2: 96%. He is immediately intubated by the emergency room physician. A FAST ultrasound examination is performed, which is demonstrated in Figure A. Abdominal and head CT scans (Figures B and C) are obtained, and the patient is immediately brought to the operating room for surgical management. Following surgery, the patient is brought to the surgical intensive care unit (SICU) and remains comatose. The patient has a prolonged course in the SICU and total parenteral nutrition (TPN) is ultimately initiated to provide adequate nutrition. Which of the following is the patient most at risk for with prolonged use of TPN?