On your tune up, did you:
replace the spark plug wires?
replace the distributor cap?
replace the rotor button?
replace the spark plugs with NGK BPR5ES?
replace the PCV?
Adjust valves?
replace fuel filter?
Most of the above are probably OK, but if they are original and over 20 years old, and if you plan on keeping the truck, they need to be replaced, especially the PCV just due to ageing.
Use 1/3 can of Seafoam in your gas tank and run some through your carb.
If your compression is low, you could try Engine Restore and see if it helps. But you will have to run it abut 200 miles before you might see any results, it at all.
What is your idle speed? If high, then you probably have a vacuum link or EGR stuck open.
Does you engine/sensor light display when you turn the key to run before starting? If not, you might have a bad sensor or two, but there is no way of telling if the light doesn't work.
Have you checked you O2 sensor?
What kind of gas mileage are you getting?
If it is 84K actual miles, then your catalytic converter and exhaust should be fine.
What year is it?