Offline reinforcement learning is important in domains such as medicine, economics, and e-commerce where online experimentation is costly, dangerous or unethical, and where the true model is unknown. However, most methods assume all covariates used in the behavior policy's action decisions are observed. This untestable assumption may be incorrect. We study robust policy evaluation and policy optimization in the presence of unobserved confounders. We assume the extent of possible unobserved confounding can be bounded by a sensitivity model, and that the unobserved confounders are sequentially exogenous. We propose and analyze an (orthogonalized) robust fitted-Q-iteration that uses closed-form solutions of the robust Bellman operator to derive a loss minimization problem for the robust Q function. Our algorithm enjoys the computational ease of fitted-Q-iteration and statistical improvements (reduced dependence on quantile estimation error) from orthogonalization. We provide sample complexity bounds, insights, and show effectiveness in simulations.