1. CO2 diffuses into a red blood cell (RBC).
2. CO2 combines with H2O catalysed by the enzyme carbonic anhydrase, forming carbonic acid.
3. Carbonic acid dissociates into hydrogen ions (H+) and hydrogen carbonate ions (HCO3-) diffuse out of the RBC into the plasma.
4. Chloride ions (Cl-) diffuse (facilitated diffusion) into the RBC to maintain electrochemical neutrality – the chloride shift.
5. H+ bind to oxyhaemoglobin, reducing its affinity for oxygen. This is the Bohr effect.
6. Oxygen is released from the haemoglobin.
7. Oxygen diffuses from the RBC into the plasma and body cells.