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Designs and sensing mechanisms of genetically encoded fluorescent voltage indicators

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You quickly obtain an arterial blood gas which shows the following: Carboxyhemoglobin 3.3 Hemoglobin: 6.0 Methemoglobin: 20 HCO3: 20.8 PCO2: 36 PaO2 :85 PH: 7.37 O2 Sat: 99% PaO2 :85 Based on the blood gas, what is the most likely cause of the patients presentation