Adequacy asks a simple question: is this prescription removing enough waste and fluid to keep you well?
What to know
- Kt/V combines clearance, session time and body water into a single number with a target range.
- URR — urea reduction ratio — is a simpler measure of how much urea a session removes.
- Frequent home schedules are assessed with standardised weekly measures rather than per-session ones.
- Numbers are not the whole picture: symptoms, blood pressure, nutrition and fluid control matter alongside them.
- Falling adequacy usually points to access problems, shortened sessions or recirculation.
Talk to your care team
This topic is part of Monitoring & Long-term Care, one of ten modules in the Trivita Learning Hub. If anything here contradicts what your own nephrologist or dialysis nurse has told you, follow your care team — they know your prescription, your access and your history.
Trivita's dialysis nurses answer our care line 24 hours a day on 055 242 1070, including for people who are not yet our patients.
Education, not medical advice. This page explains home hemodialysis in general terms for patients and care partners in the UAE. It is reviewed by Trivita's Medical Director but cannot account for your individual circumstances. Never change a prescription, medication or technique based on this page alone.