I work nights on a medical unit and we have a number of hemodialysis patients on our unit at any given time. For many of these patients I'm charged with getting them set up for breakfast and ready to go to HD between 0600 and 0700. There's an ongoing debate/confusion on my unit about which meds to give before patients go to dialysis and which to hold because they'll just dialyze off. All "daily" or "BID" meds have scheduled administration times at 0900. The dialysis nurses do not give meds and do not let patients eat during HD, so if I don't give those meds before they go they end up being late (as in early afternoon or later). I always give synthroid (scheduled for 0600) as well as renagel, phoslo, insulin, and any other meds that MUST go with breakfast, but what about the rest of the AM meds? I've heard "don't give the antibiotics," but today's pharmacist contradicted that idea. Can any one give me some hints, classification by classification, which meds I should hold until after dialysis? Thanks for you help!!!