<prompt> The treatment of choice in acute hyperkalemia of life threatening to cardiac myocytes is -Infusion of calcium gluconateOral resinsIntravenous infusion of insulinP blocker  <response>: Ans. is a i.e. Infusion of calcium gluconate EMERGENCYModalityMechanism of actionOnsetDurationCalcium gluconateAntagonizes cardiac conduction abnormalities0-5 minutes1 hourSodium BicarbonateDistributes K into cellsonly indicated with acidosis15-30 minutes1 -2 hoursInsulinDistributes Kinto cells15-60 minutes4-6 hoursAlbuterolDistributes K into cells15-30 minutes2-4 hoursNONEMERGENCYModalityMechanism of actionDuration of treatmentLoop diuretic Renal K4 excretion0.5-2 hoursSodium polystyrene sulfonate kayexalateIon-exchange resinbinds K1 -3 hoursHemodialysisExtracorporeal Kremoval48 hoursPeritoneal dialysisPeritoneal K removal48 hours 