You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A girl presented with severe hyperkalemia and peaked T waves on ECG. Fastest way of shifting potassium intracellularly is- and explain in detail?
(reference : Emergency management of acute hyperkalemia Medication Response type Onset of action Duration of action Mechanism of action Expected decrease in potassium level Calcium gluconate rapid 1-2 min 30-60 min Protect cardiomyocytes 0.5-1.5 mEq/L Glucose + insulin intermediate 10-20min 2-6 hours Shift potassium intracellularly 0.5-1.5 mEq/L (dose dependent) Beta-agonists intermediate 3-5min 1-4 hours Shift potassium intracellularly Sodium bicarbonate (only in patients with metabolic acidosis, bicarbonate < 22mEq/L) intermediate 30-60min 2-6 hours Shift potassium intracellularly (questionable effect) Exchange resin delayed 2-6hours 4-6 hours Elimination of potassium from the body Furosemide delayed 5-30 min 2-6 hours Elimination of potassium from the body Hemodialysis delayed immediate Elimination of potassium from the body 1mmol/L in the first 60 min and total of 2mmol/l by 180 min