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Explain the transport of carbon dioxide.

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Blood transports CO2 from the tissue cells to the lungs in three ways:

1. Dissolved in plasma : About 7 – 10% of CO2 is transported in a dissolved form in the plasma.

2. Bound to haemoglobin : About 20 – 25% of dissolved CO is bound and carried in the RBCs as carbaminohaemoglobin (Hb CO2 ) CO2 + Hb → Hb CO2 .

3. As bicarbonate ions in plasma about 70% of CO2 is transported as bicarbonate ions. This is influenced by pC02 and the degree of haemoglobin oxygenation. RBCs contain a high concentration of the enzyme, carbonic anhydrase, whereas small amounts of carbonic anhydrase is present in the plasma.

→ At the tissues the pCO2 is high due to catabolism and diffuses into the blood to form HCO2 and H ions. When CO2 diffuses into the RBCs, it combines with water forming carbonic acid (H2 CO2 ) catalyzed by carbonic anhydrase. Carbonic acid is unstable and dissociates into hydrogen and bicarbonate ions.

Carbonic anhydrase facilitates the reaction in both directions.

The HCO3- moves quickly from the RBCs into the plasma, where it is carried to the lungs. At the alveolar site where pCO2 is low, the reaction is reversed leading to the formation of CO2 and water. Thus CO2 trapped as HCO3- at the tissue level is transported to the alveoli and released out as CO2 . Every 100 mL of deoxygenated blood delivers 4 mL of CO2 to the alveoli for elimination.

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