In fact,: the oximeter is so sophisticated that it only measures the substance that has "changing absorbance" (arterial blood"); it is able to disregard "non-changing absorbance" i.e. tissues like skin, muscle or nail. The fingernail, then, has nothing to do with the measurement. Hemoglobin in blood absorbs different light wavelengths; these are compared and computed to come up with the oxygen sat. Amazing!
Answered 5/9/2016
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