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Hemodialysis Adequacy Tool

Kt/V Calculator

Estimate single-pool Kt/V and urea reduction ratio using values from one hemodialysis treatment session.

Instant result Daugirdas II formula Mobile friendly

Calculate Single-Pool Kt/V

Enter all values from the same dialysis session.

Use the same unit for both BUN readings.
mg/dL
BUN measured before dialysis.
mg/dL
BUN measured after dialysis.
Total delivered dialysis time.
Net ultrafiltration volume.
Body weight immediately after treatment.
Calculator Guide

What Is a Kt/V Calculator?

A Kt/V calculator estimates how effectively urea is removed during hemodialysis. The result is commonly used as one part of dialysis adequacy assessment.

K — Dialyzer Clearance

K represents the effective rate at which the dialyzer clears urea from the blood.

t — Treatment Time

t represents the total time for which the hemodialysis treatment was delivered.

V — Distribution Volume

V represents the estimated volume in which urea is distributed throughout the body.

Simple Process

How the Kt/V Calculator Works

The calculator uses the second-generation Daugirdas equation to estimate single-pool Kt/V.

01

Enter Pre-BUN

Add the BUN value measured before dialysis begins.

02

Enter Post-BUN

Add the BUN value measured after the dialysis session.

03

Add Session Details

Provide treatment time, fluid removed, and post-dialysis weight.

04

Review the Estimate

View the estimated spKt/V, URR, and general interpretation.

Result Guide

Understanding Your Kt/V Result

These ranges are general educational references for many patients receiving hemodialysis three times per week. Individual targets may differ.

Estimated spKt/V General interpretation
Below 1.2 Below the commonly used minimum delivered dose for many thrice-weekly treatments.
1.2 to 1.39 At or above the common minimum but below the commonly used target of 1.4.
1.4 or higher At or above the common target for many patients treated three times weekly.

A dialysis team may use different goals depending on treatment frequency, residual kidney function, clinical condition, sampling method, and other factors.

Common Questions

Kt/V Calculator FAQs

Find helpful answers about the calculation, inputs, units, and results.

Need clinical advice? Discuss laboratory and dialysis results with the treating care team.

Kt/V estimates the delivered dialysis dose in relation to the patient’s urea distribution volume. It mainly reflects urea removal during treatment.

For many patients receiving hemodialysis three times weekly, 1.4 is a commonly used target and 1.2 is a commonly used minimum delivered spKt/V. The treating team must determine the correct target.

Yes. Both BUN values may be entered in mg/dL or mmol/L because the equation uses their ratio. Use the same unit for both values.

URR is the percentage reduction in BUN. Kt/V also accounts for treatment time and ultrafiltration, providing a more detailed estimate of delivered dose.

No. This calculator is designed for single-session hemodialysis spKt/V. Peritoneal dialysis requires a different weekly Kt/V calculation.

Differences may result from sampling timing, treatment interruptions, access recirculation, laboratory methods, residual kidney function, or another kinetic modelling method.

Medical Disclaimer

This calculator provides an educational estimate only. It does not diagnose a condition, prescribe dialysis, or replace medical advice. Do not change treatment time, frequency, fluid removal, medication, or diet based on this result. Always consult the treating nephrologist or dialysis team.