I'm not certain about this but I don't think you have a kt/v number before dialysis. The way it was explained to me is: It is calculated by taking blood tests before and after dialysis and working out how much urea has been removed during the treatment.
kt/v is clearance*time/blood volume - and the clearance and time variables do not exist absent dialysis.
It is roughly -ln(1-URR) where URR is the urea reduction ratio