1. Diffuses into blood from cells
2. Transported to the lungs in the form of hydrogen carbonate ions
3. Reacts slowly and reversibly with water to form carbonic acid (H2CO3-)
4. Carbonic acid dissociates to form hydrogen ions and hydrogen carbonate ions
5. Carbonic anhydrase in the RBCs catalyses this reaction
6. Hydrogen carbonate ions move into the plasma by diffusion
7. Negatively charged chloride ions move into the cell to maintain electrical balance (the chloride shift)
8. Erythrocytes remove CO2 to maintain a steep concentration gradient for CO2 to diffuse into blood from tissue