Sodium balance plays a pivotal role in dialysis patient health—yet sodium disorders are common, often overlooked, and linked to significant complications. In “Salt Swings and Fluid Shifts,” we’ll explore the physiology of sodium in dialysis, dissect both hyponatremia and hypernatremia, examine how dialysate sodium prescription influences fluid and osmotic balance, and outline preventative monitoring strategies. Participants will leave with actionable insights for personalized dialysate prescription and patient education to safeguard against the dangers of sodium imbalances.