Hello my name is Dave.
You didn't mention which engine you have, however there is a common issue with these trucks related to heater core replacement. While it seems like it is a serious issue it sounds like it could be a simple matter of the back spark plug on the passenger side could have coolant in the hole which would cause a misfire especially at idle or low rpm. If the hose wasn't replaced or tightened completely it could have an ongoing leak which would make it continue to happen. If it's a 4.6 you would most likely have two misfires as it's what's referred to as a waste fire system meaning that plug fires along with the cylinder that it opposes in the firing order which could cause a misfire on that cylinder as well. I would suggest pulling the plug wire (4.6) or coil (5.4) and use a mirror and see if there is coolant in the hole, and I would also suggest looking to see if the hose going to the heater core, which s directly above that plug, is leaking. Then repair the leak if it is leaking and use some brake cleaner (i recommend using non flammable in the red can) and spray it down in the hole as this should remove any moisture that is remaining, if you have access to an air compressor use it to blow all the liquid out f the hole. If not it should dry pretty quickly on it's own. I hope this has been helpful and thank you for using 2CarPros.
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Wednesday, February 6th, 2019 AT 4:15 PM