Three out, two in, per ATP
The sodium-potassium pump is a membrane enzyme that moves ions against their gradients. In each cycle it exports three sodium ions and imports two potassium ions, powered by the hydrolysis of one ATP molecule. Phosphorylation and dephosphorylation of the pump switch its shape between an outward-facing and an inward-facing state.
Because it moves three positive charges out for every two it brings in, the pump is electrogenic, contributing a small amount directly to the negative interior of the cell.
A large share of the body's energy budget
By constantly resetting the sodium and potassium gradients, the pump maintains the resting membrane potential and keeps cell volume stable. Those gradients also power secondary active transport, such as the uptake of glucose and amino acids that piggyback on sodium re-entry.
This housekeeping is costly. Running the pump accounts for a substantial portion of resting energy expenditure, with estimates often cited around a fifth to a third of basal metabolism, varying by tissue. Cardiac glycoside drugs act by inhibiting this pump in heart muscle.