Accumulators are cheap and considered disposable. that's where all the desiccant is. it helps keep the system dry. it should be replaced any time you open the system. even the accumulator is shipped under vacuum and shouldn't be opened till you're ready to install it. less time collecting moisture from air the better.
find the sticker for the amount of frezon to add on your specific truck. I've found book specs aren't always right and even then I've see a tsb over riding what the hood stickers say, because turns out the factory overcharged them.
it's by weight not pressure. pressure tells you a lot but starting from the correct charge by weight allows the pressures to tell you something. without knowing the charge, you don't know if the pressure is reading what it is for a reason, or just under or over charge.
Moisture in the system is very bad for ac, it lowers the efficiency of the cooling, which I get most people that have gone without it for a while don't care about that. but it also mixes with the oil and 134 and makes some bad stuff. it will kill the system eventually, how long that takes, its hard to say. could be a year, could be 5 or more. so I get with a diy repair it doesn't always matter. Just want some cool air for the simmer and deal with it later. but try your best within reason to do keep it clean.