Paramedics have brought to the Emergency Department an uncon…

Paramedics have brought to the Emergency Department an unconscious patient found in a car with the engine running in a closed garage. He is wearing a nasal cannula delivering 4 LPM of oxygen. A pulse oximetry probe attached to his finger shows an SpO2 reading of 99%. An arterial blood gas sample was drawn and analyzed through a CO-oximeter. The results show a PaO2 of 140 mm Hg, PaCO2 of 30 mm Hg, and SaO2 of 75%. What would best explain the differences in saturation?