Is there a way I can find the value of the elbow point through differentials (first or second order)?
Yes.
The point you are looking for is the first one for which the first derivative drops to zero. The first derivative gives you the rate of change of your curve. When the curve becomes flat, the curve neither increases and neither decreases. Therefore its rate of change is zero. Technically, what you are showing there is a knee (or even a toe). Not an elbow. The knee is a convex point at the bottom of a (usually sigmoid) curve and the shoulder is the concave point at the top of the curve. These are simple approaches. In the context of your problem and in the presence of noise things can get a bit more complicated.
In which case, what is the smallest sampling rate that will allow me to get a graph with the desired characteristics?
If $K \in \mathbb{Z}$ (i.e. K is an integer), "sampling rate", in the sense of obtaining a "finer grid" of the X-Axis, is indefineable. You cannot have 0.5 clusters (using the standard meaning of a cluster).
I don't care too much about the accuracy as of right now (though I would like to know some kind of a tool that lets me measure the error). If I cannot use differentials, I am still interested in understanding how I could recreate the graph with the lowest sampling rate, and thus find the elbow point with the least amount of processing (For E.g. Nyquist Theorem, I would have 1/2 the amount of elements and still recreate the signal).
We established that if $K \in \mathbb{Z}$ then this concept of "accuracy" is invalid. BUT, if you find yourself in the position of having to select a $K$ and your computation of $K \in \left[a \ldots b\right], b>a$ is taking too long, maybe you can "sample" the interval between $a$ and $b$ and then fit a low degree polynomial that is "guessing" the rest of the points.
So, in your example and assuming that this is more or less the way by which distance changes with number of clusters, you could do your k-means for $K \in \left[1,3,7\right]$ and then fit an exponential decay of the form $y = N \cdot e^{-c \cdot K}$, where you have the $K,y$ and you are looking for $N, c$.
In this case, it would be valid to be talking about accuracy of finding a knee point on the polynomial curve that has been optimised by a few "experimental" data.
Finally, would incorporating random selection into the selection of the signal help me in any way?
I am not sure how "Random Selection" would help you here. Given that K-means includes the initial random assignment step, it might be better to repeat each $K \in \left[a \ldots b\right], b>a$ for a number of times rather than randomly pick a few values across your interval.
Hope this helps.