Final answer:
Direct-acting cholinergic drugs can cause respiratory paralysis and urinary retention, but they do not directly increase heart rate or cause bronchodilation. The correct option is E, none of these.
Step-by-step explanation:
Pharmacological Effects of Direct-Acting Cholinergic Drugs:
- Respiratory paralysis: Direct-acting cholinergic drugs can cause respiratory paralysis by stimulating excessive cholinergic activity at the neuromuscular junction in the respiratory muscles.
- Urinary retention: Some direct-acting cholinergic drugs can cause urinary retention by stimulating excessive cholinergic activity in the bladder, leading to increased tone and decreased bladder emptying.
- Increased heart rate: Direct-acting cholinergic drugs generally do not increase heart rate, as cholinergic activity typically slows heart rate. This effect is more common with indirect-acting cholinergic drugs.
- Bronchodilation: Direct-acting cholinergic drugs can cause bronchoconstriction, not bronchodilation, as cholinergic activity in the airways leads to smooth muscle contraction.
- None of these: The correct option is E, as none of the options listed represent the pharmacological effects of direct-acting cholinergic drugs.