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.
It is stronger than morphine and heroin both. To put it into perspective, fentanyl is 50-100x stronger than morphine, and on the streets when people think they are buying a bag of heroin but are actually buying fentanyl they usually OD. So the question isn't really how addictive it is because all opiates are almost equal in abuse potential.