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.
Furthermore, fentanyl exhibits wide tissue distribution to the lungs, kidneys, heart, spleen, brain, muscles, and body fat -- indicating a high extravascular volume of distribution (3-8 L/kg). It takes about 6 days to reach steady-state plasma concentrations after initiating fentanyl patch therapy. Q: What is the recommended method of weaning patients from a 25-mcg/hr fentanyl patch if he or she is allergic or intolerant to other opioids?