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pao2 vs pulse ox discrepancy

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I've seen a few ABG recently where a patient would have saturation by pulse ox of 90s, but pao2 would be unexpectedly low, say O2 saturation of 92% with pao2 of 55 on 2L nasal cannula. I've been seeing this somewhat frequently and nobody has a solid reason why it happens, or which to go by.

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