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.
Dilaudid (hydromorphone) and fentanyl (sublimaze) each potentially produces the same degree of pain relief. Dilaudid (hydromorphone) equianlgesic dose is 0.15 mg; whereas, fentanyl (sublimaze) equianlgesic dose is 10-25 mcg. The onset is different: Dilaudid (hydromorphone) 2-5 minutes; fentanyl (sublimaze) 1-2 minutes.