A pulse oximeter operates by using light and a photocell to
A \"pulse oximeter\" operates by using light and a photocell to measure oxygen saturation in arterial blood. The transmission of light energy as it passes through a solution of light-absorbing molecules is described by the Beer-Lambert law
I = I010CL or log10 (I/Io) = CL
which gives the decrease in intensity I in terms of the distance L the light has traveled through a fluid with a concentration C of the light-absorbing molecule. The quantity is called the extinction coefficient, and its value depends on the frequency of the light. (It has units of m2/mol.) Assume the extinction coefficient for 660-nm light passing through a solution of oxygenated hemoglobin is identical to the coefficient for 940-nm light passing through deoxygenated hemoglobin. Also assume that 940-nmlight has zero absorption ( = 0) in oxygenated hemoglobin and 660-nm light has zero absorption in deoxygenated hemoglobin. If 32.2% of the energy of the red source and 77.9% of the infrared energy is transmitted through the blood, what is the fraction of hemoglobin that is oxygenated?
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Solution
Call oxygenated hemoglobin \'OH\'.
 Call deoxygenated hemoglobin \'DOH\'.
 Concentration of OH = CO.
 Concentration of DOH = CD.
 Abbreviate \'log to base 10\' to \'log\'
 
 A transmission of 32.2% means I/I0 = 32.2/100 = 0.322
 A transmission of 77.9% means I/I0 = 77.9/100 = 0.779
 
 For the red light, the DOH has no affect ( = 0). This means absorption is due only to OH:
 log(0.322) = -COL
 -0.492 = -COL
 
 For the infrared light, the OH has no affect ( = 0). This means absorption is due only to DOH:
 log(0.779) = -CDL
 -0.108 = -CDL
 
 CD/CO = -0.108 / -0.492 = 0.219 (this value is needed below)
 
 If the total volume V then:
 amount of OH = COV
 amount of DOH = CDV
 
 Fraction of hemoglobin that is oxygenated
 = amount of OH / total amount of hemoglobin)
 = COV / (COV + CDV)
 = CO / (CO + CD)
 = 1 / (1 + (CD/CO)) (divided top and bottom by CO)
 = 1 / (1 + 0.219)
 = 0.82
 = 82%

