3 Cytoplasmic Na binds to pump proteins
Na binding promotes hydrolysis of ATP, energy release during reaction phosphorylates the pump
Phosphorylation causes the pump to change shape, expel Na to the outside
Two extracellular K binds to pump
K binding triggers release of the phosphate, the dephosphorylated pump resumes its original confirmation
Pump protein binds ATP releases K to the inside, and Na site are ready to bind Na again cycle repeats.