CO2 has less affinity for haemoglobin, therefore cannot fully be carried by RBCs as ‘CO2’. However, CO2 needs to somehow be in the plasma to be removed by the lungs. CO2 combines with water to form carbonic acid, which then dissociates into bicarbonate ions and hydrogen ions. CO2 + H2O → H2CO3 → HCO3- + H2. It is in the form of bicarbonate ions that CO2 is mostly carried by the blood to the lungs