Yes it does the chemicals in whatever you are smoking are more than likely altered from what it originally was, therefore the chemicals start to taint the blood vessels and damage them permanently.
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Hold the insulin. NPO means they havent eaten and can not eat before surgery. The novolog is a fast acting insulin and the client would need to eat when taking it. The levemir should also be held because it is unclear as to how long it would be before the patient would be able to eat again.
