I agree water in the fuel is your first check, then examine all of your vacuum lines. The truck is old enough the vacuum lines may have turned into dry spaghetti and be cracked. A simple check for that is while it is idling, spray water along the intake and along the vacuum lines, if the engine rpm changes, then begin there.
Around here, we have unreal issues with leaf cutter bees - the little devils are quite small, yet VERY industrious. They can plug off small openings in lines in a matter of hours..... and with a considerable amount of material.
Knew a mechanic who had to look at a truck that had been towed in - it would turn over and try to start. Interestingly, the owner had also taken his dog to the veterinarian, as it had been losing weight no matter how much food he gave the dog. Turns out, squirrels had been stealing all of the dog's food and storing it in the truck's air cleaner, in the frame rails.... all over.