1 The study process for the exam led to a broader knowledge base, a brush-up on familiar topics and an education on new aspects of the ASC industry.  The continuing education requirement to keep the credential up to date encourages CASC achievers to stay current on ASC issues.
Effects. Like heroin, morphine, and other opioid drugs, fentanyl works by binding to the body's opiate receptors, highly concentrated in areas of the brain that control pain and emotions.ike heroin, morphine, and other opioid drugs, fentanyl works by binding to the body's opiate receptors, highly concentrated in areas of the brain that control pain and emotions.
Transmucosal fentanyl should only be used in patients who are. already receiving opioids, and are opioid tolerant. A patient should be receiving at least 60mg of oral morphine equivalents per day, or 50 micrograms transdermal fentanyl. per hour, if transmucosal fentanyl is to be considered for breakthrough pain 5. At present, there is no direct conversion ratio between morphine and transmucosal fentanyl.