1. E1 conformation (accessible from intracellular fluid, high affinity for Na+ and low affinity for K+)
2. E2 conformation (accessible from ECF, low affinity for Na+ and high affinity for K+)
3. Transporter binds 3 Na+ from cytosol
4. Phosphorylation by ATP favors conformational change
5. Na+ is released, K+ binds
6. Dephosphorylation favors original conformation
7. K+ is released to cytosol. Cycle repeats